If Matt Bevin discovers that he can't eliminate the Medicaid expansion in Kentucky, that will go a long way towards proving that ACA is here to stay. Republicans can still screw it up if they get complete control of the national government - making it an even bigger giveaway towards insurance companies, for instance, or ruining its finances because the GOP don't do math - but this is a possible big test of the survivability of the act.
Turns out it works. Turns out it's popular.
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