Texas is one of the states that is actively fighting ACA (Obamacare) in the 
courts.

Texas is a "red" state, which means that a lot of those people living check 
to check effectively voted against universal health coverage. This goes 
back to marketing and "death panels" -- the concept that mindless 
bureaucrats will decide your fate under universal care. Of course, 
privatized systems could, and have, make decisions that are just as 
draconian, but somehow people don't think of that.

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