In my neck of the white woods, it's not people of color who would be dying or for that matter,  did die before ACA.  It's white working class families who couldn't begin to afford health insurance and didn't have access to corporate insurance.  That included farm and ranch workers, the service industry, bars, restaurant, fast food workers, and whole host of other people working for small businesses that could not afford company health insurance.  It's not just people of color who will be impacted.  Montana is just one of many rural white states whose populations would pay the same price for lack of insurance as any major inner city.