The vast majority of healthcare reform is funded through what is known as mandatory spending that is not necessarily affected by the continuing budget resolution now at issue in Congress. If the government shuts down, the only aspect of Obamacare that will be defunded is the portion that is covered through discretionary spending. Affordable Care Act discretionary spending includes funding for community health centers, preventative health programs, school-based health clinics for children, rural and Indian health centers, doctor and nurse training grants, among other programs—spending that overwhelmingly benefit rural Republican districts in many states.

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