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View Diary: It's Republican versus Republican in Obamacare fight in the states (91 comments)

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  •  There is a benefit. You will fall under the (2+ / 0-)
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    foresterbob, Rikon Snow

    federal exchange. Do you think Georgia could set up a better exchange than the feds?

    "I believe more women should carry guns. I believe armed women will make the world a better place. Women need to come to think of themselves not as victims but as dangerous." Anna Pigeon

    by glorificus on Fri Nov 30, 2012 at 09:16:31 PM PST

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    •  Georgia probably wouldn't (4+ / 0-)
      Recommended by:
      ferg, Mayfly, foresterbob, Dogs are fuzzy

      But Vermont will. They'll use the exchange as a way to stand up their public option.
      Georgia COULD, but given the given...
      The advantage for state setting up their own system is that they a) get money, like $100 million to implement it and b) they have more control over it's structure and rates.
      The advantage to the system as a whole is that states like Vermont and several others will take advantage to innovate and we'll get the benefit of a scaled test of several systems in real time/world. different systems will find different workarounds for problems and successful programs can spread. And the states that would most likely burn their residents, will be served by a federal system, starting, IIRC, in 17 states, That gives time to build a federal system at one third national size, shake the bugs out, et cetera.
      All these knuckledraggers that thought they'd really stick it to Obama by not cooperating, end up with more federal control than if they'd done what they are supposed to.
      And the split here, or several of them, anyway, are the Governors, looking at it closer and clearer than the legislatures. Whether they are wanting to or not, Governors are in a position of having to govern. Legislatures can go term after term without doing a damm ting.
      In the long run, I'd like to see MedicAid be brought into the exchanges as a buy in option for people who are within 500% of the line where MedicAid kicks in. Make it a basic floor that underlies the exchange and make it so that young healthy workers who are not earning much can are included. Their (low) premiums will expand MedicAid's fiscal base and expand it's purchasing power.
      Step by step.....

      If I ran this circus, things would be DIFFERENT!

      by CwV on Sat Dec 01, 2012 at 04:32:33 PM PST

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