Yes, it would be unworkable without the subsidies. There are 34 states using the Federal exchange. Most of these states are in the south and midwest. The incom

Yes, it would be unworkable without the subsidies. There are 34 states using the Federal exchange. Most of these states are in the south and midwest. The income per capita in these states is much lower than the states with their own exchanges. It is estimated that 70% of those covered would cancel their insurance in these states if the subsidies were eliminated. The remaining 30% would try to hang on as they probably really need the insurance due to pre-existing conditions. Insurance companies would not be able to make a profit off of the remaining 30% and they would raise unsubsidised rates to try and compensate. As they raised the rates, more people would drop out and then the insurance companies would start raising rates in the states with their own exchanges, and on employers who offer health insurance to employees to compensate. The whole thing would have come crashing down.