the federal exchange is not single payer
“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.
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then nationalize the health care insurance companies, and the National Health Service will be established, never to be repealed.
It’s a big step in that direction.
It effectively is. The subsidies are paid right out of the US Treasury and go directly to insurance companies. It is single payer of an enormous subsidy to the Health Insurance industry.