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View Diary: More Republican governors opt for federal control of health care exchanges (191 comments)

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  •  If half the states choose to go with the federal (9+ / 0-)

    exchanges, they are creating a de facto national health insurance plan, which is absolutely anathemana to the Radical Right.  They are cutting their noses off to spite their faces.  It may wind up that the federal exchanges will cause standardization across states and it may be run more effectively than many state's operations, causing lower costs for the insurance companies involved, which could lead to lower health care costs, not the Radical Right predicted higher health care costs for ObamaCares.

    Republicans are like alligators. All mouth and no ears.

    by Ohiodem1 on Fri Nov 16, 2012 at 10:46:06 AM PST

    •  Agree - My earlier take on it elsewhere: (1+ / 0-)
      Recommended by:

      O.K., here's the plan: Accumulate Rep. led states into this federally-operated health care system, reverse the decisions by Dem governors turning those states into additional fed-run systems to put a majority of states into the federal system. Then, convert this system into a Single-Payer System, possibly "Medicare for All" and we're home.

      Getting old ain't for sissies.

      by flatlander30 on Fri Nov 16, 2012 at 11:08:31 AM PST

      [ Parent ]

    •  No. Insurers are still licensed by state (0+ / 0-)

      It simply means the feds will come into each state and set up a unique state exchange.

      As it was set up, the exchange part of ACA is kinda stupid.

      No national health insurance plans are allowed under ACA, as has always been the case.  That hasn't changed.

      But, under ACA, all state plans will be "must carry".  An insurer cannot refuse to carry someone.

      So what is the point of an exchange???  The state already regulates companies as it sees fit.  ACA forces plan minimums, etc.  What more is an exchange going to do for consumers that isn't already built into ACA and state regs?

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