The Cities Trumpcare Would Hurt (and Help)

Which cities would hurt most from the Trump-backed healthcare bill attracting withering criticism on both sides of Congress? According to a new analysis by WalletHub, urban places with large populations of poor, non-white policyholders would see the tax credits they receive under the Affordable Care Act more than halved under the GOP’s proposed plan, the American Health Care Act. Remote cities where healthcare expenses are extremely high would also feel the pain.

In a ranking of 457 U.S. cities with populations greater than 75,000, Yuma, Arizona clocks in as the city hit hardest by the proposed AHCA: the average couple would lose nearly $8,000 in subsidies. Yuma’s demographics mirror those who’ve benefited most from Obamacare: 18 percent of the city’s residents lives below the poverty line, 55 percent are Latino, and 21 percent are foreign-born, according to Census data. Following Wallethub’s methodology (which relies on this Kaiser Family Foundation’s Health Insurance Marketplace Calculator), the average joint-filing, two-person Yuma household—where neither individual smokes, both are of median age, and together bring in the city’s median income—are eligible for nearly $13,000 in annual tax credits under the ACA’s income- and location-based system. That would drop to $5,000 under the GOP’s strictly age-based subsidy plan.