Key points are not available for this paper at this time.
the political costs of gutting the entire ACA is too high, states may be the ones crafting the future of federal health care reform. Reforms undertaken by Massachusetts in 2006 greatly influenced federal reforms in the ACA. State-driven reforms enacted under innovation waivers could similarly foreshadow the future of U.S. health care reform.
Hudson et al. (Tue,) studied this question.