For people between 18 and 65 You're rich. You can afford the care you need You're well-to-do. Insurance companies are required to sell you a policy and you can afford it. You're on the edge of well-to-do. Insurance companies are required to sell you a policy, but it's going to hurt, and it's going to hurt some more if you're over 50 or get really sick. You're doing OK. Insurance companies are required to see you a policy and there will be a subsidy to help out. Getting sick will hurt your wallet. If you're unlucky and have a modest windfall, the IRS will demand the subsidy back. You're squeaking along. Insurance companies are required to sell you a policy but the subsidy won't be enough. Your family savings are circling the drain. (a) In Medicaid expansion states, the government pays your health care, but you may have difficulty getting the subcontracted care-managment companies to pay. (b) In Medicaid-limited states, you are SOL, an