About 5 million people will be without health care next year that they would have gotten simply if they lived somewhere else in America.
They make up a coverage gap in President Barack Obama's health care law created by the domino effects of last year's Supreme Court ruling and states' subsequent policy decisions.
Twenty-five states declined to expand Medicaid. The Kaiser Family Foundation finds that that leaves 4.8 million people in those states without coverage that their peers elsewhere are getting.
One who falls into the gap is Cheryl Jones, a 61-year-old home-care worker in Erie, Pa. She says she doesn't always take the pills she's been prescribed for high blood pressure because she can't afford to. She asks officials to remember the working poor, saying, "We pay our taxes."