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View Diary: Senate HELP Committee Passes Health Reform Bill (246 comments)

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  •  Ooh. State-based exchanges won't work. (12+ / 0-)

    You need at least regional exchanges to have good competition.  There's no way there can be good competition in WY or VT with a population this small.

    •  Let's see how the House and Senate reconcile. (2+ / 0-)
      Recommended by:
      jim bow, wsexson

      I agree about the state-based exchanges, but I suspect that they won't be in the conference bill.  The House seems against them, and I haven't once heard a practical reason for state-based exchanges from the Senate. It seems like a choice based on ideology (and maybe a bone being thrown to the more conservative members of the committee).

      In the end, I doubt that having the exchanges be state-based will be important enough to the Senate to fight over it with the House negotiators.

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