Right now, I'm thrilled to live in California. We have a well functioning state health care exchange. As as result, I and millions of others fortunate enough to live in a state where their politicians care about their citizens, will retain our stable health care premiums.
Conversely, people in those states mostly run by Republicans that see their citizens as worthless pawns to sacrifice in bizarre political games face massive, and mostly unaffordable, increases in their premiums. Republicans, of course, are jubilant and plan to blame the premium increases that they have caused on Democrats.
The end result, which is entirely the goal of Republicans, is to divide the nation in half. The half with Democratic leadership will be healthier, more prosperous, and happier. The Republican half will be sicker, poorer, more miserable, and angrier. As Ted Cruz can tell you, poor and angry people are the most fertile ground for growing Tea Party fanatics.
Reality Check: The ruling by a three judge panel will be stayed and referred to the entire D.C. Circuit Court which will over turn the ruling by the two partisan Republican judges. Republicans, in turn, will appeal that judgement to the Supreme Court where the odds are, by the same 5-4 vote, they will reaffirm their judgement on the ACA. At the same time, Democrats will introduce simple legislation in the Senate to correct the problem, block Republican efforts to amend the hell out of it, and pass it onto the House which will bury it deeper than Argonaut Mine (in California, over a mile deep).