The
chance of team Obama setting up these exchanges in the next year without state help is is somewhere between slight and none.
The implementation of ObamaCare assumed that the states
would do the work of setting up individual state exchanges to provide a
clearinghouse of health insurance information for the public, and
provide the mechanism that triggered enforcement of the law against
those employers who were accused of violations.
There are just 33 problems. That’s the number of states that have
chosen to either not implement a state exchange at all or engage in a
hybrid system that leaves many of the problems up to the federal
government, as is the case with Illinois, Delaware and North Carolina,
or which remain undecided on whether to accept the responsibility for
developing the exchange.
Already, 25 states representing 45 percent of the U.S. population
have told the Obama administration that they will not be spending the
time, energy and effort to build a state exchange, when ultimately the
federal government would have to approve virtually every decision that
was made. These states have effectively told the Feds that they won’t
own the vast array of problems created under ObamaCare when they won’t
have the flexibility or ability to fix them.
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