This was a good discussion of the state of the ACA and healthcare subsidies generally in CA, but applies more broadly. thanks @onenote for posting, originally on the “Medicare for all” thread.
Benefit Revolution: State Freedom Rankings & US Healthcare Updates - As Heard on Armstrong & Getty Today (see video)
In short, the CA government is already paying for much of the healthcare out of taxes, and it’s expensive. To curtail healthcare cost inflation, expensive doctors are cut from networks, wait times get longer, care gets worse. Trends seem to be continuing in this direction, both in the amount paid by the government and the level of care issues.