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Republican governors shouldn’t help implement Obamacare

Home - by - November 10, 2012 - 23:00 America/New_York - 13 Comments

WA Examiner

For several years, opposition to President Obama’s health care law focused on its mandate that forces individuals to purchase government-approved insurance. By upholding the mandate as a constitutional exercise of Congress’s taxing power in June, the U.S. Supreme Court maintained the provision that helped hold the law together. But if the mandate is the cement, the law’s expansion of Medicaid and establishment of subsidized health insurance exchanges is the house itself. It’s these two provisions that will be responsible for$1.7 trillion of spending over the next decade, according to the Congressional Budget Office. Together, they are expected to provide insurance to 30 million Americans and create the infrastructure that liberals hope to use to transition the nation, over time, into a fully government-run, or single payer, health care system. With the election over and Obama reelected, repealing the law is not going to happen over the next four years. So 30 Republican governors will have to make a decision about whether they want to help the federal government implement Obamacare, or keep the onus on the Obama administration.

One of the silver linings of the Supreme Court decision is that it gave states the ability to opt out of the Medicaid expansion. Medicaid is one of the programs that is crushing state budgets and if implemented as intended, Obamacare will add 18 million beneficiaries to the program’s rolls. Though the federal government lures states with a honey pot in the short term – covering all of the expansion through 2016, by 2020 the states will be asked to kick in 10 percent of the cost, amounting to billions of dollars of spending imposed on states nationwide each year. It would be to the long-term benefit of governors to opt of the expansion.

Separately, the health care law was designed to coerce governors into embracing exchanges on which individuals will be provided with federal subsidies to purchase insurance. If a state doesn’t establish its own exchange, the law specifies that the federal government will step in and set one up for them. Given that Republicans typically favor more state and local control, there’s a clear temptation for them to cave in, assuming that the lesser of two evils by implementing the exchanges themselves. But they should resist that temptation.

Though the law creates the veneer of providing states with flexibility on the exchanges, the reality is that all of the major decisions – from the broad structure of the exchanges to the details of what kind of health care plans will be offered in the exchanges and how they will be marketed – will be made from Washington. A careful reading of the law finds that all of the sections about state “flexibility” are filled with caveats that render them useless in practice, because Secretary of Health and Human Services Kathleen Sebelius will be running the show. For instance, Obamacare specifies that, “The Secretary shall, by regulation, establish criteria for the certification of health plans as qualified health plans.” And later orders that “An Exchange may not make available any health plan that is not a qualified health plan.” In other words, Sebelius will get to decide what type of health care plans can be offered on these state exchanges.

 

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» 13 Comments

  1. CrustyB

    November 10th, 2012

    GET IT FROM OBAMA

    Anytime someone solicits me on the street, this is my response to them. Whenever I get a mail solicitiation (like the one I just recieved from the local PBS station) I’m sending it back with a sheet of paper that says GET IT FROM OBAMA. If Americans want to transfer control of my money to the goverment, then that’s where they should be going for their handouts. Fuck em.

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  2. HippieCritic

    November 11th, 2012

    Crusty, I was in a supermarket on Thursday and some short hispanic woman asked me if I could reach a loaf of bread for her on the top shelf. I asked her who she voted for. She was a little taken back, but after a few seconds answered “Obama”. I told her “then call the government to help you get the bread down” and walked away.

    A couple of weeks ago, I got a call from a government-grant subsidized art organization/gallery in my old super-liberal home town. The caller said they’re organizing a fundraising exhibit and would I contribute a painting. If I would, they will mail me a blank canvas for my painting so it isn’t an added expense for me. I thought that was so kind of her so I told her I would. Long story short: I got a free canvas. Fuck ‘em.

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  3. Bad Brad

    November 11th, 2012

    HippieCritic, I admire your shopping skills. I’ve had a lot of fun crossing a picket line at one of our local grocery stores since Wednesday. We should go shopping together sometime. It be a hoot.

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  4. eternal cracker p

    November 11th, 2012

    Nobody should decide. It’s what you would call a FREE market. Fuck em.

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  5. MaryfromMarin

    November 11th, 2012

    (reposted) Our local Tea Party group is encouraging us to stop patronizing liberal-owned businesses, and switch to those owned by conservatives. And definitely let the former know why we are no longer shopping there.

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  6. Bad Brad

    November 11th, 2012

    MaryfromMarin, How, and where, do they get that list. I sure would like one for here locally. I could reach out and make an impact.

    I don’t know if you read any of the stuff I’ve posted about my experience with the picket line at our Raley’s grocery stores. But I run into other big lifters at the gym on the week ends and filled them in. I almost feel bad. Well that’s bull shit, but it’s gonna be fun.

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  7. Sadie

    November 11th, 2012

    There’s more of us than them!

    Democrats or Republicans now have sole control of the governorship and both legislative chambers in 37 state capitals around the country.
    According to the National Conference of State Legislatures (NCSL), which tracks party representation in the country’s 50 state governments, Democrats now control all three bases of power – the governorship and both houses of the state legislature
    – in 14 states and Republicans in 23, with only 12 states sharing power.

    Read more: Rising number of states seeing one-party rule – Washington Times http://www.washingtontimes.com/news/2012/nov/10/rising-number-of-states-seeing-one-party-rule/#ixzz2BszvP6yz

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  8. MaryfromMarin

    November 11th, 2012

    @Brad–

    We need to develop our own lists, then share in our areas. I have volunteered to help compile information here in Marin. Might be a short list, but then again, might not be!

    Each person has to find out the political stance of the owners of the businesses where they usually shop, and then go from there. You’re part of a Tea Party group, aren’t you? Maybe someone in that group would be willing to be the clearing house for shared information.

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  9. Freeshiticus

    November 11th, 2012

    If the governors have any gonads they will refuse 0bamacare on the basis that it is a lie being shoved down the throats of millions of people who would vote it into oblivion if it weren’t for the corrupt supreme court taking a big steamy shit on our rights and the system of law laid down by our founders.
    We voted it out. It should stay out. Fuck the supreme court.

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  10. Lisl

    November 11th, 2012

    But do you think this is a realistic possibility?

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  11. deli doug

    November 11th, 2012

    “Our local Tea Party group is encouraging us to stop patronizing liberal-owned businesses”

    might you all consider this:
    over the years, we’ve all heard those DEM smears that greedy big oil is doing something just to maximize profits [so?]- now, i don’t follow their books nor their stocks- but i’ve noticed or get a sense of, when the fools vote for the commies, and the energy cos get punished by said commies -any additional ‘costs to produce and deliver’ goes RIGHT on down to the consumer…

    why should we be any different? berrie hisself encouraged the illegals and other hispicnics (h/t Michael Berry) to “punish your enemies/reward your friends”

    ‘course that pos is a divider, NOT a uniter

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  12. Billy Fuster

    November 11th, 2012

    Obamacare will further the secessionist movement.

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  13. Carlos The Jackal

    November 11th, 2012

    States rights are the last fortification before either all out revolution or a society where government controls all.

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