The Progressive-Democratic Party-run States and the Republican-run States are demonstrating what they think of the intelligence and capability of ordinary American citizens.
The roughly half of states controlled by Republicans are therefore moving aggressively to roll back the law widely known as Obamacare, while the smaller number of Democratic states are working to bolster it.
One party does not believe that Americans in a free market, here for health care and for health care coverage plans, are capable of making sound decisions. They need Big Government to think and act for them. The other party believes the opposite: the ordinary man is fully capable of thinking for himself and doesn’t need Big Government to tell him what to do.
Oh, and that other party also believes in free markets and the associated competition that brings down overall prices and increases the range of options available. That other party also believes that the greater range of options facilitates the decision-making of the ordinary man. The one party believes the range of options only confuses the ordinary man and so—single payer for limited choices.