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Getbig Main Boards => Politics and Political Issues Board => Topic started by: Soul Crusher on June 30, 2012, 12:47:29 PM
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http://www.nytimes.com/2012/06/30/us/politics/some-states-reluctant-over-medicaid-expansion.html?_r=1&hp
You morons cheering on this insanity have no idea how bad this is. The states are already broke and this Thug in the WH thinks the answer is to saddle the states w more unfunded liabilities?
95ers Please!
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Reluctance in Some States Over Medicaid Expansion
By ROBERT PEAR and MICHAEL COOPER
WASHINGTON — Millions of poor people could still be left without medical insurance under the national health care law if states take an option granted by the Supreme Court and decide not to expand their Medicaid programs, state officials and health policy experts said Friday.
Republican officials in more than a half-dozen states said they opposed expanding Medicaid or had serious doubts about it, even though the federal government would pick up all the costs in the first few years and at least 90 percent of the expenses after that.
While upholding the most hotly debated part of the health care overhaul law — a requirement that most Americans have health insurance or pay a penalty — the Supreme Court said in its ruling on Thursday that states did not have to expand Medicaid as Congress had intended — leaving a huge question mark over the law’s mechanism for providing coverage to 17 million of the poorest people.
In writing the law, Congress assumed that the poorest uninsured people would gain coverage through Medicaid, while many people with higher incomes would receive federal subsidies to buy private insurance. Now, poor people who live in a state that refuses to expand its Medicaid program will find themselves in a predicament, unable to obtain either Medicaid or subsidies.
That potential gap will probably lead to ferocious statehouse battles in the coming year, as states weigh whether to accept billions of dollars in federal aid to pay for expanded coverage. The health care industry, sensing the skepticism in some states, is preparing a campaign to persuade state officials to accept the money for coverage of the uninsured.
But already, governors in Kansas, Nebraska and South Carolina, among other states, have said they would have difficulty affording even the comparatively small share of costs that states would eventually have to pay.
Gov. Dave Heineman of Nebraska, a Republican who is chairman of the National Governors Association, indicated that he was against expanding Medicaid eligibility.
“As I have said repeatedly, if this unfunded Medicaid expansion is implemented, state aid to education and funding for the University of Nebraska will be cut or taxes will be increased,” Mr. Heineman said.
In South Carolina, Rob Godfrey, a spokesman for Gov. Nikki R. Haley, said, “We’re not going to shove more South Carolinians into a broken system that further ties our hands when we know the best way to find South Carolina solutions for South Carolina health problems is through the flexibility that block grants provide.”
In New Hampshire, State Representative Andrew J. Manuse said he and other Republicans were already working to block the expansion of Medicaid. “We can’t afford it,” Mr. Manuse said. “It’s as simple as that. Thank God the Supreme Court gave us an option.”
Obama administration officials played down such concerns. Michael Hash, a senior official at the federal Department of Health and Human Services, said he believed that all states would eventually decide to expand Medicaid. Democratic governors like Pat Quinn in Illinois and Christine Gregoire in Washington welcomed the opportunity to help more of their constituents through Medicaid.
Republican governors in Wisconsin and Louisiana said they would wait to see the results of November’s elections before deciding whether to expand Medicaid, in the hope that Mitt Romney will be elected president and undo the health care law. “That’s why we have refused to implement the Obamacare health exchange or the Medicaid expansion,” said Gov. Bobby Jindal of Louisiana.
Under the law, subsidies are available to people with incomes from the poverty level up to four times that amount, but not to people with incomes below the poverty level ($23,050 for a family of four).
The federal government would initially pay all the cost of expanding Medicaid to 133 percent of the poverty level. The state share would slowly rise to 10 percent of the cost by 2020.
“Because the expansion is such a good deal for states, they should move forward and cover low-income adults in their states,” said Judith Solomon, a health policy analyst at the Center on Budget and Policy Priorities, a liberal-leaning research and advocacy group. “But what happens in states that do not go ahead and provide coverage? The poorest adults — primarily parents and other adults working for low wages — will be left out in the cold.”
While states typically leapt at such offers of federal largess in the past, a growing number of Republicans have declined federal aid in recent years — turning down billions of dollars in federal money to build railroads in Wisconsin, Ohio and Florida, for instance, and initially balking at accepting some of the money in the 2009 stimulus law.
In Ohio, where Gov. John R. Kasich has expressed concern about the added health care costs, officials said that they were anticipating higher Medicaid expenses quite apart from the expansion in eligibility. The new requirement for people to have health insurance, they said, could bring several hundred thousand people who are already eligible for Medicaid into the state’s program, at a cost of $940 million in the first two years.
Lt. Gov. Mary Taylor, a Republican who is director of the Ohio Department of Insurance, said in an interview that even though the federal government would pick up all of the costs in the first few years of expanded coverage, “our concern is we can’t make decisions for the short term.”
And in New Jersey, Gov. Chris Christie, a Republican, called the ruling giving states the choice of whether to expand Medicaid “a ray of sunshine in an otherwise cloudy day.”
Another Republican governor, Phil Bryant of Mississippi, also cast doubt on the expansion, saying. “I would resist any expansion of Medicaid that could result in significant tax increases or dramatic cuts to education, public safety and job creation.”
Health care providers who treat low-income patients strongly support the expansion of coverage.
Richard J. Umbdenstock, the president of the American Hospital Association, said that hospitals around the country would lobby for the Medicaid expansion. “If states do not avail themselves of this opportunity,” he said, “the federal money will go to other states, and hospitals will be left with large numbers of the uninsured.”
Nancy M. Schlichting, chief executive of the Henry Ford Health System in Detroit, said she “absolutely will lobby” for the expansion of Medicaid. She said she expected Gov. Rick Snyder, a Republican, to support the expansion, but she added, “he may have trouble” getting it through the Michigan Legislature.
Congress has repeatedly expanded Medicaid in the last 25 years, and states often had new sources of revenue, like money from the settlement of lawsuits against major tobacco companies. “But this time is different,” said Dennis G. Smith, secretary of the Wisconsin Department of Health Services. “Virtually all states are struggling to sustain their current Medicaid programs.”
Illinois, facing severe financial problems, has already delayed Medicaid payments to some health care providers.
“Many hospitals are not being paid for six months or more after they provide services and file claims,” said Danny Chun, a spokesman for the Illinois Hospital Association. “Illinois is dead broke.”
Robert Pear reported from Washington, and Michael Cooper from New York.
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Racist Post Reported.
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I grew up. I Westchester / Bronx. The taxes in Westcester are insane, same w Nassau, surf folk, etc. guess what adds drastically to that? medicaid.
ThugCare is going to make this disaster even worse.
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From a political perspective, I don't see how the conservative governors are going to be able to pass it up. At least not for any length of time.
Repeal is a remote possibility, but I'm thinking the House may just refuse to fund the program.
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From a political perspective, I don't see how the conservative governors are going to be able to pass it up. At least not for any length of time.
Repeal is a remote possibility, but I'm thinking the House may just refuse to fund the program.
That won't work. Michelle Bachmann pointed that out nearly a year ago, that the Dems built the funding within the law itself.
There's no simple de-funding it. It must go.
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That won't work. Michelle Bachmann pointed that out nearly a year ago, that the Dems built the funding within the law itself.
There's no simple de-funding it. It must go.
No, they can't completely defund. But, they can probably use CR's to tie it up to the point where it's essentially defunded.
The only way to completely stop it is to win the White House, and probably break even, or get some renegades in the Senate.
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No, they can't completely defund. But, they can probably use CR's to tie it up to the point where it's essentially defunded.
The only way to completely stop it is to win the White House, and probably break even, or get some renegades in the Senate.
Bingo. The only possbility of reigning in this insanity is to win the WH and Senate.
This is why I already signed up to volunteer for Myth. Am i convinced he will do it? no. But I see no other option whatsoever to reverse this lunacy.
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http://www.nytimes.com/2012/06/30/us/politics/some-states-reluctant-over-medicaid-expansion.html?_r=1&hp
You morons cheering on this insanity have no idea how bad this is. The states are already broke and this Thug in the WH thinks the answer is to saddle the states w more unfunded liabilities?
95ers Please!
Give it a godamn rest will you????? its Sunday..go lay down and watch the Yankees
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no state taxes in TEXAS
get a better financial planner/CPA; haven't paid fed taxes in three years.
so, what's the problem? ;D
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Give it a godamn rest will you????? its Sunday..go lay down and watch the Yankees
Fuck you slave. You idiots are cheering on your enslavement to your god king messiah.
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Fuck you slave. You idiots are cheering on your enslavement to your god king messiah.
hahahahah..your mental illness is actually getting worst ;D
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WSJ Chief Economist: 75% of Obamacare Costs Will Fall on Backs of Those Making Less Than $120K a Year
By: Jim Hoft
6/30/2012 11:44 AM
Stephen Moore, Senior Economics Writer with the Wall Street Journal, told FOX and Friends this morning that nearly 75% of Obamacare costs will fall on the backs of those Americans making less than $120,000 a year.
“It’s a big punch in the stomach to middle class families.”
http://www.humanevents.com/2012/06/30/wsj-chief-economist-75-of-obamacare-costs-will-fall-on-backs-of-those-making-less-than-120k-a-year
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Fuck you Andre as well as every communist RAT supporting this shit.
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No, they can't completely defund. But, they can probably use CR's to tie it up to the point where it's essentially defunded.
The only way to completely stop it is to win the White House, and probably break even, or get some renegades in the Senate.
Not quite. Since this is a tax, the GOP can repeal it the same way the Dems passed it: Reconciliation.
That only takes 51 Senate votes. And the Dems have over TWICE as many seats on the line as the GOP does.
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Not quite. Since this is a tax, the GOP can repeal it the same way the Dems passed it: Reconciliation.
The problem is that the decision set by Roberts opened a door that enslaves all of us to these progressive communists like obama pelosi reid waxman et al
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The problem is that the decision set by Roberts opened a door that enslaves all of us to these progressive communists like obama pelosi reid waxman et al
I know that. That's why I'm upset with this ruling.
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I grew up. I Westchester / Bronx. The taxes in Westcester are insane, same w Nassau, surf folk, etc. guess what adds drastically to that? medicaid.
ThugCare is going to make this disaster even worse.
the taxes are high there because Westchester is one of the most wealthy suburbs in America..be honest at least
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the taxes are high there because Westchester is one of the most wealthy suburbs in America..be honest at least
No, the public sector locusts are paid way too high, and the county also has to pay for its medicade portion, just like everywhere else in NYS.
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No, the public sector locusts are paid way too high, and the county also has to pay for its medicade portion, just like everywhere else in NYS.
yes but they also have awesome public and private schools they pay for as well....
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yes but they also have awesome public and private schools they pay for as well....
Some yes, most no.
Yonkers, New Ro, Mt. Vernon, Port Chester, Peekskill, Ossining, taxes are very high and shools are shit.
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what do you expect when you live in NY state?......but services here are great as well....and we have some of the best mass transit in the country...go to other states and see what their mass transit systems look like....in NY city I can travel to almost anywhere in the city for just $2.25
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what do you expect when you live in NY state?......but services here are great as well....and we have some of the best mass transit in the country...go to other states and see what their mass transit systems look like....in NY city I can travel to almost anywhere in the city for just $2.25
I'm sure for you its easier to be carted around in the paddy wagon.
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I'm sure for you its easier to be carted around in the paddy wagon.
I should say the same for you.....EMS constantly has to take you to Bronx Psychiatric
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calling ppl morons is the best way to get their minds open to your point of view.
much like raping a woman at knifepoint is how you get her to fall in love with you.
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calling ppl morons is the best way to get their minds open to your point of view.
much like raping a woman at knifepoint is how you get her to fall in love with you.
This will all be moot soon as 83% of doctors are going to quit anyway and do something else.
i gotta hand it to you 240, you might just be a big contrarion but you get more abuse than anyone on here and you rarely react lol.
Here's the fucked part:
How can prices go down when the industry now has laws saying people have to purchase your services.
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calling ppl morons is the best way to get their minds open to your point of view.
much like raping a woman at knifepoint is how you get her to fall in love with you.
At this point it's fruitless trying to reason w anyone still supporting this insanity. If they have not figured it out by now, they never will and deserve to be mocked and ridiculed daily.
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This will all be moot soon as 83% of doctors are going to quit anyway and do something else.
i gotta hand it to you 240, you might just be a big contrarion but you get more abuse than anyone on here and you rarely react lol.
Here's the fucked part:
How can prices go down when the industry now has laws saying people have to purchase your services.
This is true... I would have much rather have everyone allowed into Medicare... That was the right call.
Can I ask this question... I have read a lot, and a lot of things I read say that the Insurance part was actually a Republican idea so the insurance companies didn't go out of business.
Is that true?
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This is true... I would have much rather have everyone allowed into Medicare... That was the right call.
Can I ask this question... I have read a lot, and a lot of things I read say that the Insurance part was actually a Republican idea so the insurance companies didn't go out of business.
Is that true?
Not sure. I think requiring under penalty of law that all must have health insurance helps pay for the many reform provisions put into Obamacare.
All i can say is that here in Cali there is a law that all vehicles must have insurance and they police it very fast if your insurance runs out. the insurance companies report directly to DMV. So you might think that more insured would be cheaper insurance? NOPE. Cali has seriously high auto insurance compared to the rest of the USA.
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Not sure. I think requiring under penalty of law that all must have health insurance helps pay for the many reform provisions put into Obamacare.
All i can say is that here in Cali there is a law that all vehicles must have insurance and they police it very fast if your insurance runs out. the insurance companies report directly to DMV. So you might think that more insured would be cheaper insurance? NOPE. Cali has seriously high auto insurance compared to the rest of the USA.
I think all car insurance companies have that in regards to reporting... However, you have a lot of car insurance companies that can compete.
What we need is for insurance companies to be able to cross state lines.
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Not sure. I think requiring under penalty of law that all must have health insurance helps pay for the many reform provisions put into Obamacare.
All i can say is that here in Cali there is a law that all vehicles must have insurance and they police it very fast if your insurance runs out. the insurance companies report directly to DMV. So you might think that more insured would be cheaper insurance? NOPE. Cali has seriously high auto insurance compared to the rest of the USA.
Is everyone forced to drive in Cali?
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Is everyone forced to drive in Cali?
the reason i brought up the car insurance thing is that during a discussion with a supporter of the recently passed Obamacare he said that with 20 million new customers (forced by law) that medical insurance would go down. the California insurance thing is a good example of how it will likely not as the medical industry now has the law on their side and can with colusion increase prices at will.
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the reason i brought up the car insurance thing is that during a discussion with a supporter of the recently passed Obamacare he said that with 20 million new customers (forced by law) that medical insurance would go down. the California insurance thing is a good example of how it will likely not as the medical industry now has the law on their side and can with colusion increase prices at will.
That person is delusional.
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*Guess what, morons...
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*Guess what, morons...
Fuck off troll.
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Have you ever considered writing a book about your life?
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Have you ever considered writing a book about your life?
Fuck off troll. Seek help for your TBI, even though your pofs ghetto scumbag messiah is charging you more for it now.
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i gotta hand it to you 240, you might just be a big contrarion but you get more abuse than anyone on here and you rarely react lol.
i use getbig for argument, disagreemnt, conflict, conversation, debate, just for the rush of it. I enjoy the bright minds we have here. some of us, myself included, are misguided, etc. But hey, whatcha gonna do?
I carry twin glocks and am damn accurate. I dont take much in life seriously lol. whoever wins in 2012 won't change much. obamacare wasn't destroyed by the top repub on SCOTUS. that shit is bigger than dem/repub and isn't going anywhere.
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Fuck off troll. Seek help for your TBI, even though your pofs ghetto scumbag messiah is charging you more for it now.
*Fuck off, troll.
You need a remedial English class. Maybe you can pencil one in between cases.
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whoever wins in 2012 won't change much.
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*Fuck off, troll.
You need a remedial English class. Maybe you can pencil one in between cases.
And you need help from the VA ASAP.
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Not sure. I think requiring under penalty of law that all must have health insurance helps pay for the many reform provisions put into Obamacare.
All i can say is that here in Cali there is a law that all vehicles must have insurance and they police it very fast if your insurance runs out. the insurance companies report directly to DMV. So you might think that more insured would be cheaper insurance? NOPE. Cali has seriously high auto insurance compared to the rest of the USA.
NY also has high auto insurance as well.....but a lot of the high premiums are due to the fraud and high theft rate of NY and Cali
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Have you ever considered writing a book about your life?
My Mom, her Basement & Getbig ? :D
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My Mom, her Basement & Getbig ? :D
;D
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Fifteen governors reject or leaning against expanded Medicaid program
The Hill ^ | 7/3/2012 | By Elise Viebeck
Posted on July 3, 2012 6:22:10 AM EDT by tobyhill
At least 15 governors have indicated they will not participate in the expansion of Medicaid under the healthcare law, striking a blow to President Obama’s promise of broader insurance coverage.
Before Thursday’s Supreme Court ruling, states had the option of either increasing their Medicaid rolls or being penalized by the federal government. The high court struck down that offer as unconstitutional.
Governors still have a financial incentive to participate in the expansion of coverage for low-income people, since the government will foot most of the bill through 2016. But the decision is also loaded with politics, particularly for Republican governors who are adamantly opposed to “ObamaCare.”
“You can make the political call real quick, but the actual decision is a complicated one,” said Matt Salo of the National Association of Medicaid Directors. “Governors are going to be looking at the numbers and asking: Does this make sense for us?”
(Excerpt) Read more at thehill.com ...
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My Mom, her Basement & Getbig ? :D
A good title would be "What I Did Today"
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A good title would be "What I Did Today"
Maybe but the content would only fill a few lines:
Logged on GB, copy-paste conservative propaganda, i hate Obama, the end.
No wonder FOX viewers are the most un-informed people in this country.
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ObamaCare’s now a bigger mess
By MICHAEL TANNER
Last Updated: 12:27 AM, July 3, 2012
Posted: 10:36 PM, July 2, 2012
If the new health care law wasn’t enough of a mess before last week’s Supreme Court decision, that ruling actually added another layer of cost, complexity and political contentiousness to the bill.
By striking down part of the law that required states to expand their Medicaid programs, the court tossed a very hot potato into the laps of state lawmakers everywhere.
ObamaCare required states to increase eligibility for Medicaid to 133 percent of the poverty line, or roughly $30,000 per year for a family of four. The expansion would also make childless single men (a notoriously high-cost group) eligible for Medicaid for the first time. In all, about 40 percent of all the people projected to gain coverage under ObamaCare would do so via Medicaid.
But this imposed real costs on states. For example, the Medicaid expansion would cost New Jersey taxpayers roughly $35 billion over 10 years, and New Yorkers as much as $52 billion.
Not surprisingly, many states balked — and now the high court has agreed: Congress can’t strip all Medicaid funds from states that refuse the expansion, as the ObamaCare law threatened.
So what will state legislators do now?
If they agree to expand their Medicaid programs anyway, they’ll be choosing to pile new costs on their state budgets and new taxes on their constituents.
And if a state doesn’t expand its Medicaid program, most of those who would’ve been eligible for Medicaid will now become eligible for subsidies through ObamaCare’s health-insurance exchanges. And those subsidies are paid in full by the feds.
Thus, New York, for example, would shift most of that $52 billion in new costs back to the federal government.
Of course, if states do shift those costs back to the feds, that will cause the federal cost of ObamaCare to skyrocket. If every state were to refuse to expand its Medicaid program, the feds would save roughly $130 billion in their share of Medicaid costs in 2014, but would have to pay $230 billion more in new exchange-based subsidies — for a net added cost of $100 billion. And that’s just for the first year.
Remember, this is a law that already will cost as much as $2.7 trillion from 2014 to 2024, and will add more than $823 billion to the federal deficit — estimates that assumed state taxpayers would be picking up some Medicaid costs. How will Congress react if billions or perhaps trillions of dollars in new costs are added to the federal budget?
Here’s another complicating factor: Most states have not yet set up an exchange. Many, especially ones with Republican governors or legislatures, may refuse altogether. By most estimates, as few as 15 states are likely to have exchanges in operation by the 2014 deadline.
ObamaCare gives the feds the authority to step in, setting up and operating an exchange in any state that doesn’t set up its own — but there is reason to doubt that they have resources to do so in so many states.
Anyway, federal subsidies are available only through exchanges that the states set up. The feds can’t offer subsidies through a federally run exchange.
Thus, if states neither expanded Medicaid nor set up exchanges, that would effectively block most of ObamaCare’s new entitlement spending.
One last wrinkle: It is those subsidies that trigger the penalty under ObamaCare for employers who fail to provide workers with insurance. So states that don’t set up exchanges could also escape the “employer mandate.”
That is, ObamaCare requires employers with 50 or more workers to provide health insurance or pay a fine . . . er, tax. But that tax only kicks in if at least one employee qualifies for subsidies under the exchange. Since subsidies can only be provided via a state-authorized exchange, a state that refuses to set one up could end up blocking the employer mandate altogether. At the very least, expect some employers to sue on this point, leading to yet another Supreme Court challenge.
And if, as expected, ObamaCare drives up the cost of insurance, many employers could end up dropping their current health insurance. So the end result of all this could be even more uninsured than before the law passed.
In short, the Supreme Court’s ruling not only guaranteed that ObamaCare will be an issue in this fall’s federal elections; it dumped a mess in the laps of governors and state legislators, too.
Michael Tanner is a Cato Institute senior fellow.
Read more: http://www.nypost.com/p/news/opinion/opedcolumnists/obamacare_now_bigger_mess_ZQXHK0gILBo5NZ9NpCIPnN#ixzz1zYjtrlLU
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http://en.wikipedia.org/wiki/Health_care_reform_in_the_United_States
Read that you idiot instead of posting your useless garbage
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http://en.wikipedia.org/wiki/Health_care_reform_in_the_United_States
Read that you idiot instead of posting your useless garbage
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Yeah, a press reelase from obama about ThugCare
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Yeah, a press reelase from obama about ThugCare
Yes wiki is a press release from Obama? ::)
Just keep your head in your ass and copy-paste your ridicilous propaganda. The writers of the shit you read are laughing their ass of. They cant imagine that retards like you actually fall for it