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Obamacare Ruling May Have Just Killed State-Based Exchanges
The New York Times ^ | 25 June 2015 | Margot Sanger-Katz

Posted on 06/25/2015 8:28:26 AM PDT by 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.

(Excerpt) Read more at nytimes.com ...


TOPICS: Business/Economy; Government; Politics/Elections
KEYWORDS: 0carenightmare; abortion; deathpanels; exchanges; healthcare; obamacare; scalia; scotus0caredecision; scotuscare; scotusobamacare; scotussubsidies; singlepayer; states; zerocare
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To: KevinB

So single payer, with all your medical records in the system, oh, which by the way, was just hacked by the Chinese to the tune of all government personnel records.


21 posted on 06/25/2015 8:41:22 AM PDT by cincinnati65
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To: Theoria

lose the battle, win the war.

Thanks to this ruling the Dems are now FULLY liable politically going forward.

And Hillary will likely be the defender in 2016 of this lemon.

When the ballot booth closes the reaction will be swift and angry. Particularly because the business side of the effects are going to come through by then.

Just wait until you see the large insurers try to merge with each other . . . pitchforks will be a blazing . . .


22 posted on 06/25/2015 8:42:21 AM PDT by LRoggy (Peter's Son's Business)
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To: GraceG

Very accurate depiction of our current form of government except that the “Rubber Stamp Branch” will sometimes act as a debating club in order to keep up appearances.


23 posted on 06/25/2015 8:44:47 AM PDT by Vigilanteman (Obama: Fake black man. Fake Messiah. Fake American. How many fakes can you fit in one Zer0?)
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To: Vigilanteman

[ Very accurate depiction of our current form of government except that the “Rubber Stamp Branch” will sometimes act as a debating club in order to keep up appearances. ]

It is the “Potemkin on the Potomac”....

https://en.wikipedia.org/wiki/Potemkin_village


24 posted on 06/25/2015 8:46:07 AM PDT by GraceG (Protect the Border from Illegal Aliens, Don't Protect Illegal Alien Boarders...)
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To: babble-on

It’s a big step in that direction.


25 posted on 06/25/2015 8:48:56 AM PDT by ctdonath2 (The world map will be quite different come 20 January 2017.)
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To: LRoggy
Just wait until you see the large insurers try to merge with each other . . . pitchforks will be a blazing . . .

The two tallest buildings on the Pittsburgh skyline are Highmark (Blue Cross-Blue Shield) and UPMC. Their p*$$*ng match on the media in this market is merely a preview of things to come.

26 posted on 06/25/2015 8:49:35 AM PDT by Vigilanteman (Obama: Fake black man. Fake Messiah. Fake American. How many fakes can you fit in one Zer0?)
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To: Yosemitest

Bflr.


27 posted on 06/25/2015 8:50:38 AM PDT by RushIsMyTeddyBear
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To: KevinB

So your deductions will now be...Federal Tax, SS, Medicare and Obamacare...and only working folks pay. What’s new!!


28 posted on 06/25/2015 8:51:08 AM PDT by Sacajaweau (s)
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To: babble-on

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.


29 posted on 06/25/2015 8:51:40 AM PDT by Lorianne
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To: Theoria

Just another step to a one payer system Anyone surprised by this ruling is quite naive, there was no chance of SCOTUS doing damage to ACA.

Just a matter of time.


30 posted on 06/25/2015 8:52:38 AM PDT by cydcharisse (`)
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To: GraceG
Except, where Congress can tell the Supreme Court what to decide on.

'In all the other cases before mentioned, the Supreme Court shall have appellate jurisdiction, both as to law and fact, with such exceptions, and under such regulations as the Congress shall make.'

31 posted on 06/25/2015 8:53:55 AM PDT by Theoria (I should never have surrendered. I should have fought until I was the last man alive)
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To: Theoria

No.. I was just talking with J.Roberts the clear meaning of

“in all the other cases before mentioned, the Supreme Court shall have appellate jurisdiction, both as to law and fact, with such exceptions, and under such regulations as the Congress shall make.”

Is

“In all other cases that we the court think congress acted in a way that did not makes sense to us we shall have ALL power to change the written law and even the former constitution to fit our whims.”


32 posted on 06/25/2015 8:57:57 AM PDT by Bidimus1
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To: TexasGator

And via state exchanges they have forced various insurers to raise their prices if their premium increases apeared too small.


33 posted on 06/25/2015 8:58:09 AM PDT by Secret Agent Man (Gone Galt; Not averse to Going Bronson.)
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To: KevinB

You are correct.

This whole thing is not about Health Care. There are not enough doctors to handle the influx of new patients. You think the VA is bad? In some rural parts of MA (with Romney care) a first visit to a primary care physician can take more than 300 days.

People flock to the ERs.

It is a mess.

The last good thing out of MA was Sam Adams.

The person, not the beer.


34 posted on 06/25/2015 9:00:03 AM PDT by Vermont Lt
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To: LRoggy

Better check the voter demographics in this country....with millions of LEGAL immigrants arriving from the third world year after year & voting 80% democrat there’s a small chance the GOP can win a national election any longer.


35 posted on 06/25/2015 9:05:36 AM PDT by LongWayHome
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To: Theoria

Shoot...the Feds will now “Federalize” the state exchanges.
Hoping some state will take that to SCOTUS re: states rights.


36 posted on 06/25/2015 9:14:46 AM PDT by stylin19a (obama = Fredo Smart)
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To: stylin19a

Sworn to uphold the Constitution-—like hell they do. Leaders who are leftists, liars and leeches. Move over Roman Empire—we got nothing on you. If there is a ‘rapture’ looking forward to it.


37 posted on 06/25/2015 9:23:10 AM PDT by tflabo (Truth or tyranny)
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To: BenLurkin

Ironic graphic....since....Obama has been playing the “knockout game” against America, Americans, our symbols, our traditions and our constitution from Day One of his unlawful reign.


38 posted on 06/25/2015 9:25:35 AM PDT by XenaLee (The only good commie is a dead commie)
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To: bonehead4freedom

I can see it now (the future historic commentary).

Conservatives didn’t leave the Republican Party. The Republican Party left conservatives. More like, drove them out.


39 posted on 06/25/2015 9:27:06 AM PDT by XenaLee (The only good commie is a dead commie)
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To: Theoria

It is no longer the Supreme Court. It is the EXTREME Court!


40 posted on 06/25/2015 9:31:48 AM PDT by 2harddrive
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