25 February 2017 - When Representative Greg Walden of Oregon visits his expansive district, which swallows two-thirds of a very blue West Coast state, his constituents grouse amiably to their longtime Republican congressman about environmental regulations and federal lands policy.

And then the conversation shifts to the Affordable Care Act and what its repeal would mean for the struggling rural workers who have long voted for Mr. Walden, and for children like 11-year-old Rocco Stone. Because of the health law, Rocco has been able to live at home, attend school and have a nearly normal life despite having autism and a rare genetic disorder.

“Our life was completely changed when Oregon and the federal government partnered to provide home and community services through Medicaid,” Rocco’s mother, Dana M. Stone, told the congressman this past week. “We are deeply, deeply concerned about talk at the federal level about a complete repeal of the Affordable Care Act.”

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