Obamacare Ruling May Have Just Killed State-Based Exchanges

The New York Times ^ | 25 June 2015 | Margot Sanger-Katz

[Theoria]

Now that the Supreme Court has ruled that health insurance consumers can receive federal subsidies regardless of their state’s role in running their insurance market, fewer states may stay in the game.

When the Affordable Care Act passed in 2010, most people expected that each state would want to run its own health insurance marketplace. That never really happened, as many states opted to let the federal system, HealthCare.gov, do the work for them. Many of those states that did try running their own marketplaces are starting to think twice.

Now, with the Supreme Court ensuring that every state’s consumers will have equal access to federal subsidies, it is becoming clear that more of those states will revert to a federal system for enrolling people in health insurance.

“There may be a little bit of buyers’ remorse going on in some state capitals right now,” said Sabrina Corlette, the director of the Center on Health Insurance Reforms at Georgetown University. She said states underestimated the difficulty and expense of building and maintaining state marketplaces. Now, she said, many officials are asking: “What did we get ourselves into?”

As the law envisioned, state exchanges would provide an opportunity for state insurance regulators to oversee their markets, a role they have long performed. The state exchange system would also allow a greater degree of policy flexibility and control, so state officials could customize the marketplaces for local conditions. What few people grasped was the technical and logistical challenge of building a complex website and customer service operation from scratch.

[KevinB]

Of course. Single payer has been the goal all along.

[jsanders2001]

Oh so let the feds do it since they are so good at what they do, right?

[GeronL]

“”””What few people grasped was the technical and logistical challenge of building a complex website and customer service operation from scratch””””

Still hilarious that they expect us to believe the website really costs that much or was that hard to build.

[Iron Munro]

[annieokie]

and right on time.....as planned. I think I am going to throw up now.

[babble-on]

the federal exchange is not single payer

[GraceG]

[blackdog]

Curious article with insight and detail which had to be pre-scripted to be so readily released by the media.

IOW, Whitehouse written.

[BenLurkin]

[TexasGator]

“the federal exchange is not single payer”

No. But the socialist goal is single payer.

Already now the Federal government essentially dictates who you can buy from and what you can buy.

[smokingfrog]

More states rejected it than wanted it, so where is the logic in keeping this sham legislation afloat?

[chajin]

the federal exchange is not single payer

It is the next step in that direction, and the progressives know it.

The ruling meant nothing to them. If it had gone the other way (as it should have, constitutionally), they would simply have used executive order, or forced the GOPe, to fund the national exchange, at which point the states with exchanges would decide it is in their own state government's best interests to merge with the national exchange. The only step remaining is to first consolidate and then nationalize the health care insurance companies, and the National Health Service will be established, never to be repealed.

[txrefugee]

When you put Communists in the White House and the SCOTUS, the country is lost without firing a shot.

[Ahithophel]

Single payer has been the goal all along.

We have a winner. Yes, 0care was engineered to fail

[Rennes Templar]

“What few people grasped was the technical and logistical challenge of building a complex website and customer service operation from scratch.”

Another liberal cause that experienced reality. They can ignore it for so long, but reality eventually shows up.

[Yosemitest]

The ILLEGAL ALIEN IN CHIEF wants ~ and is DIRECTING the policies that regulate ALL health care plans
in the United States ~ TO FAIL !
NEVER FORGET THAT !
And now, the SCOTUS is helping him to do it !

Many of us have said for many years that Obama is doing this INTENTIONALLY.
He using the old Soviet Plan from 1934 or earlier.




Only idiots and the evil voted for Obama, or ANY of the Democrats.
AND NOW, WE CAN ADD "Establishment Republicans" TO THAT LIST, ALSO!
They've lied to us, constantly, and really are "Collapsing the System".
And now, these "Useful IDIOTS" who voted for them, are buying the lies that "Obamacare was designed to work." ?
It was designed to fail from the start.
THEN ... THEY GO TO THE "SINGLE-PAYER SYSTEM".

Flashback: Obama's Campaign to Transition to Single Payer Health Care (VIDEO)


obama master plan on health careover the years in his own words--SINGLE PAYER!!! ( 3:38 )

They've been sucking our wallets dry for over four years now on the "Obamacare" LIE.
AND NOW THEY WANT MORE TAXES ?
Our Founding Fathers would have hung them already!

Lets review:

Who was it that cut future funding for Medicare by $575 billion?

...the president and the Democratic Party successfully bamboozle voters... The 2012 election could turn on this falsehood.
The truth is that the Obama health law reduces future funding for Medicare by $575 billion over the next 10 years ...

Mr. Obama and Health and Human Services Secretary Kathleen Sebelius frequently make that false claim.
Indeed, even Medicare's mailings to seniors repeat the claim
that reducing spending on Medicare will make it more financially secure for future years.
The fact is that Mr. Obama's law raids Medicare.

"In early 1968 President Lyndon Johnson [DEMOCRAT] made a change in the budget presentation by including Social Security and all other trust funds in a"unified budget." "

Who was it that expanded Medicare and Medicaid to cover many, many more people than it was originally designed to cover?

The History of Medicare

In 1965, the Social Security Act established both Medicare and Medicaid. Medicare was a responsibility of the Social Security Administration (SSA), while Federal assistance to the State Medicaid programs was administered by the Social and Rehabilitation Service (SRS). SSA and SRS were agencies in the Department of Health, Education, and Welfare (HEW). In 1977, the Health Care Financing Administration was created under HEW to effectively coordinate Medicare and Medicaid. In 1980 HEW was divided into the Department of Education and the Department of Health and Human Services (HHS).

The first U.S. President to propose a prepaid health insurance plan was Harry S. Truman [DEMOCRAT]. On November 19, 1945, in a special message to Congress, President Truman outlined a comprehensive, prepaid medical insurance plan for all people through the Social Security system. The plan included doctors and hospitals, and nursing, laboratory, and dental services; it was dubbed "National Health Insurance." Furthermore, medical insurance benefits for needy people were to be financed from Federal revenues.

Over the years, lawmakers narrowed the field of health insurance recipients largely to social security beneficiaries. A national survey found that only 56 percent of those 65 years of age or older had health insurance. President John F. Kennedy [DEMOCRAT] pressed legislators for health insurance for the aged. However, it wasn't until 1965 that President Lyndon B. Johnson signed H.R. 6675 (The Social Security Act of 1965; PL 89-97) to provide health insurance for the elderly and the poor.

On July 30, 1965, President Johnson signed the Medicare and Medicaid Bill (Title XVIII and Title XIX of the Social Security Act) in Independence, Missouri in the presence of former President Truman, who received the first Medicare card at the ceremony; Lady Bird Johnson, Vice-President Hubert Humphrey, and Mrs. Truman also were present. President Johnson remarked: "We marvel not simply at the passage of this Bill but that it took so many years to pass it."

Medicare extended health coverage to almost all Americans aged 65 or older. About 19 million beneficiaries enrolled in Medicare in the first year of the program. Medicaid provided access to health care services for certain low-income persons and expanded the existing Federal-State welfare structure that assisted the poor.

The 1972 Social Security Amendments expanded Medicare to provide coverage to two additional high risk groups disabled persons receiving cash benefits for 24 months under the social security program and persons suffering from end-stage renal disease.

...(continued at link)

So Democrats,

YOU ARE RESPONSIBLE
FOR INSURING THE FAILURE
OF THE MEDICARE/MEDICAID PROGRAM,
and now YOU DEMOCRATS ARE RESPONSIBLE FOR THE INTENTIONAL DESTRUCTION OF THE U.S.A. ECONOMY!!!

So DEMOCRATS ... SHUT UP!!!

You have no integrity!!!

Sen Mark Kirk's statement Thursday, Dec 1, 2011 ...

"There are 55 million Social Security beneficiaries that will see little or no extra cash from this 2012 tax holiday;
instead, the dedicated payroll contributions meant to pay for future benefits are being diverted from the Trust Fund
and replaced with Treasury debt that does not even have a AAA credit rating.
Social Security was designed to be independent and free from the danger of Congressional manipulation,
and maintaining the firewall between the Social Security Trust Fund and general government funding is the best way to maintain the solvency of this important program.
Neither bill protects the Social Security Trust Fund
so I voted no. "

It's not our fault that DEMOCRATS raided the Social Security Trust Fund.
Let's remember ...

Not ALL are to blame for the empty lock box.

It's the Democrats Communists.

Let's take a deeper look.

Obama: "I Don't Want the Folks who Created the Mess to do a lot of Talking" "

Okay, then the DEMOCRATS need to shut up!!!

[umgud]

SCOTUS Ruling on LGBT Tomorrow (Thursday)? (Vanity)
6/24/2015 10:29:41 PM · 6 of 36
umgud to hoagy62
I have a hard time believing they will rule against SSM. With the mood in the country these days, I’d guess they’d rule against confederate flags if it was before them.
Post Reply | Private Reply | To 1 | View Replies

[steve8714]

What does this mean for the employer penalties? The Pubbies were going to keep the subsidy and screw the employers anyway.

[bonehead4freedom]

Bohner & McConnell to lead the repeal effort when? The Republicans were elected to stop Obama but they are actively working to help Obama. The Republicans are purging Conservatives from their ranks, going against the base, and working for the Democrats to advance their agenda.
The is no longer a need for Conservatives to remain in the Republican party it's time to start a Conservative party to stop the advancement to socialism and dictatorship.