****Those states without exchanges are going to be excoriated and labeled every liberal class warfare slur in the book.****
You are correct. Virginia has no exchanges or new Medicaid participation for the reasons you mentioned and here is the liberal sludge being spewed as you accurately pointed out. This is an excerpt from an editorial in the “Virginian Pilot” (See more at http://www.Pilotonline.com under “All Columnists”)
Only politicians in Washington can change the terms of that law; lawmakers in Richmond must make the best of the hand they’re dealt.
In this case, federal law requires Virginians to pay $10 billion in new taxes over the next five years. If Virginia doesn’t expand Medicaid, all that money will go to other states that have decided to expand the Medicaid eligibility criteria.
In effect, Virginia would be subsidizing efforts to improve health care and tamp down costs in other states while ignoring its own vulnerable residents.
If Virginia does expand Medicaid, the money would return to the commonwealth.
I guess that the way Obamacare works, the Federal Government taxes Virginia, for example, $5 Billion in new Medicaid charges and then says they don’t get any of it back unless they agree to pay more in future taxes by participating in Medicaid Expansion.
On the street I believe that’s called extortion.