Here are the 17 cities that have the most to lose under ‘Trumpcare’

caption
Fans of Donald Trump in Fayetteville, North Carolina.
source
Sara D. Davis/Getty Images

The American Health Care Act, the Republican bill to overhaul the US healthcare system, is expected to be voted on by the full House of Representatives later this week.

Experts in health policy have been digesting what the law could change for Americans on average, including the estimated impact on the cost of health insurance by the AHCA, which has also been referred to as “Trumpcare” by lawmakers and outlets on both sides of the aisle, despite the White House’s pushback on the name.

As part of the AHCA, Americans who do not get coverage through their employer or a government program like Medicaid or Medicare would receive a tax credit to buy insurance through the individual insurance market.

The AHCA does not adjust subsidies based on income or cost of living, unlike the Affordable Care Act, the healthcare law better known as Obamacare, instead giving a flat total to people based on their age.

WalletHub looked at tax-credit structures of both the ACA and the AHCA and determined the metro areas where the average tax credit for insurance would fall the most.

The cities are clustered in a few states. Six of the 17 metro areas that would see the average credit decline by $3,500 or more are in North Carolina – the most of any state.

Only two of the top 17 cities are in states that voted for Hillary Clinton, with the other 15 cities in states that went for Donald Trump in November.

We’ve got the top 17 via WalletHub; check them out below:


17. High Point, North Carolina

source
High Point University Facebook

Average Obamacare Tax Subsidy: $8,544

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$3,544

Source: WalletHub


16. San Angelo, Texas

source
Wikimedia Commons

Average Obamacare Tax Subsidy: $8,578

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$3,578

Source: WalletHub


15. St. Joseph, Missouri

source
Wikimedia Commons

Average Obamacare Tax Subsidy: $8,599

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$3,599

Source: WalletHub


T13. Rockford, Illinois

source
Wikipedia

Average Obamacare Tax Subsidy: $8,662

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$3,662

Source: WalletHub


T13. Winston-Salem, North Carolina

source
Sean Pavone/Shutterstock

Average Obamacare Tax Subsidy: $8,662

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$3,662

Source: WalletHub


12. Allentown, Pennsylvania

source
Paul Sableman/Flickr

Average Obamacare Tax Subsidy: $8,714

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$3,714

Source: WalletHub


11. Greensboro, North Carolina

source
Shutterstock/Sean Pavone

Average Obamacare Tax Subsidy: $8,819

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$3,819

Source: WalletHub


10. Asheville, North Carolina

source
Jon Bilous/Shutterstock

Average Obamacare Tax Subsidy: $9,232

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$4,232

Source: WalletHub


9. Wichita Falls, Texas

source
Official City of Wichita Falls, TX/Facebook

Average Obamacare Tax Subsidy: $9,434

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$4,434

Source: WalletHub


8. Birmingham, Alabama

source
Flickr/Alby Headrick

Average Obamacare Tax Subsidy: $9,494

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$4,494

Source: WalletHub


7. Fayetteville, North Carolina

source
Shutterstock

Average Obamacare Tax Subsidy: $9,687

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$4,687

Source: WalletHub


6. Greenville, North Carolina

caption
Downtown Greenville, North Carolina
source
Tyrandaquan09, via Wikimedia Commons

Average Obamacare Tax Subsidy: $9,067

Average Trumpcare Tax Subsidy: $4,000

Difference in Subsidies: -$5,067

Source: WalletHub


5. Chattanooga, Tennessee

source
Shutterstock

Average Obamacare Tax Subsidy: $10,786

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$5,786

Source: WalletHub


4. Reading, Pennsylvania

source
Getty/Spencer Platt

Average Obamacare Tax Subsidy: $10,149

Average Trumpcare Tax Subsidy: $4,000

Difference in Subsidies: -$6,149

Source: WalletHub


3. Syracuse, New York

source
Flickr/David Wilson

Average Obamacare Tax Subsidy: $10,398

Average Trumpcare Tax Subsidy: $4,000

Difference in Subsidies: -$6,398

Source: WalletHub


2. Anchorage, Alaska

source
Paxson Woelber/Flickr

Average Obamacare Tax Subsidy: $12,748

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$7,748

Source: WalletHub


1. Yuma, Arizona

source
Wikimedia Commons

Average Obamacare Tax Subsidy: $12,815

Average Trumpcare Tax Subsidy: $5,000

Difference in Subsidies: -$7,815

Source: WalletHub


Here’s the full drop-off for the top 17 cities in chart form.

source
Andy Kiersz/Business Insider

See also: Here are the winners and losers from ‘Trumpcare’»