Given the fact the Medicaid Expansion was not accepted by the Red States, of course, health care is too expensive.
The highest uninsured are the Red States resulting in an upward pressure on health care costs because the companies offering coverage in these states have a limited offering.
The number of people participating in health care costs are far less in these Red States. It is most notable the Red States often have oppressive voting regulations as well.
...Not all workers have access to coverage through their job. (click here) In 2016, 73% of nonelderly uninsured workers worked at a firm that did not offer health benefits to the worker. The main reason uninsured workers give for not taking up an offer of coverage is that the coverage is unaffordable. From 2006 to 2016, total premiums for family coverage has increased by 58%, and the worker’s share has increased by 78%, outpacing wage growth....
When examining national statistics the graph from Gallup show a drastic change in the uninsured.
Often, when adverse reporting makes the media the Blue States are the first to attempt to fix the problems. However, it may be only the Red States that are the cause of the adverse reports. Before a Blue State legislature changes the laws or funding for it's population there should be a clear designation as to what extent there is a problem for the states that react significantly to adverse reporting of the ACA.