If you're not voting for the people keeping you from having health care, you're not one of the voters that don't care. Unfortunately, you're in the minority and surrounded by the people who don't care.
Don't get me wrong, I get it. I'm originally from Missouri, and there are many many reasons why I will never voluntarily live in a place like that again.
But at the end of the day, democracy is democracy, and that is what the people of these states want. All I can do is think them rather stupid for that, and leave for a place with people I generally find respectable and intelligent.
No, it's a specific thing predominantly in southern states, where if you dont make a certain amount of money, you get absolutely no help in affording health insurance. It's caused by the states themselves being shitty with a shortcoming of the affordable care act, and closing that shortcoming was one of Biden's promises. And it's been entirely abandoned, so forget mental health coverage, I cant get any healthcare.
Generally it will be more of the same. It's extremely difficult on purpose for the federal government to force programs on States. They have to choose to adopt the programs.
The federal government generally packages such programs with tax incentives to improve adoption, but the states you're referencing are such tax dollar leeches already they don't really stand to benefit. You know, aside from improving life for their citizens.
They just need to amend the section of the ACA dealing with subsidies. They made the lower limit on qualifying incomes with the intention of medicaid taking over from there. And then some states rejected the medicaid part. So we're left with this awkward hole where you can be too poor to qualify for federal aid.