The people who benefit most from the Affordable Care Act -- the poor and the young -- tend not to vote. Those who benefited from the pre-ACA system (including such things as low co-pays that camouflage the rest cost of care) -- the older and richer -- tend to vote heavily. Thus the GOP should do well in the election on Nov. 4 and cut back on the health programs for the poor. It easier to vote than ever. So the low-income people who will face cutbacks after the election will have no one to blame than themselves.