The Atlantic

Older Voters Are Complicating the GOP's Plans for Health Care

Republican members of Congress who oppose the Obamacare replacement have something in common: Their constituents—who tend to be older—fear losing benefits.
Source: J. Scott Applewhite / AP

House Republican leaders struggling to pass their alternative to the Affordable Care Act are colliding head-on with the GOP’s new demographic reality: Their coalition is centered on older white voters, many of whom fear losing benefits from the Obama-era law.

An Atlantic analysis shows that House Republicans who have expressed opposition to the GOP’s replacement plan are heavily concentrated in districts where the median age, the number of seniors, or both exceed the national average. Because President Trump ran so well in older and often blue-dollar districts, that dynamic produces a paradoxical result: Most of the House Republicans expressing hesitation about the bill, whose passage Trump supports, represent districts he carried. In most of those seats, Trump improved on the performance of 2012 GOP nominee Mitt Romney.

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