http://www.foxnews.com/politics/2013/11/05/obamacare-price-hikes-hit-red-states-hardest/ The real reason the red states are getting hit hardest is because they tended to be light- to moderately-regulated states to begin with. Now the ACA is usurping state government's rights to regulate its own insurance companies and replacing working systems with the unworkable a highly expensive federal guidelines. Supporters of the ACA point out that the higher rates don't take into account the subsidies available some state residents, so the published rates aren't reflective of what they will pay. But the idea that somehow insurance cost increases don't matter because there are subsidies for people doesn't wash, because subsidies are paid for by taxpayers. Maybe the policy holder doesn't pay the price, but we do.