If you were never nervous about where are health care system is going through before, this situation of health care 'exchanges' will make the hair on the back of your neck stand up tall.
What we have here is the seeds of extreme discontent between the states and the federal government which in the end will begin the end of states rights or the beginning of the end of the federation.
Government run health care is just the final straw in a long run of federal government intrusion into states rights and by far the worst, as it will bring down most states into bankruptcy given the financial mess they are in now. What will follow then is chaos and where there is social and financial chaos, the progressives socialists believe there is profit.
Remember Rahm Emanuel's statement, ' a crisis is too good a thing to waste. We can get things done we could never do otherwise'. Barack Obama and national health care is the result of the public's increasing inability to cope with uncertainty.
The crisis presented it self in 2008 just before the election and that's when Rahm and Barack started this country toward a socialized culture of dependents. Little wonder we are still country in crisis after three years.
States Squirm over Health Exchanges
Source: Jason Millman, "States Squirm over Health Exchanges," Politico, November 28, 2011.
For state governments, the coming Supreme Court ruling on health reform isn't an abstract argument about the U.S. Constitution. It's a highly practical question about whether, when and how to proceed with one of the health law's most important and complicated pieces: setting up health insurance exchanges.
Already facing political strife over implementation of health reform, some states are wondering if they should sit tight on exchange decisions until the court rules. However, the timetable for their decisions is tight, and could significantly complicated last-second efforts by state legislatures if they choose to wait, says Politico.
June 2012: The Supreme Court is expected to rule on health care, yet this is also the final month during which states can petition the federal government for grant money to fund their efforts to create an exchange.
January 2013: The federal government will assess each state's progress towards creating an exchange and will begin creating federally-run exchanges for those states that are unlikely to have exchanges completed in time.
January 2014: Each state must have a fully functioning exchange, whether run by the federal or state government.
Many state legislators want to ignore the timetable and continue to put off the establishment of exchanges until the Court has ruled -- two Midwestern governors have already declared their states won't set up an exchange until that time. And that idea is growing popular among powerful state legislators vigorously opposed to health reform.
Irrespective of the outcome, the dynamic between states and the federal government in creating exchanges has espoused a new source of states' rights tension. Many conservative lawmakers are balking at the idea of a federally-run exchange, with Kansas going so far as to send back a $31 million grant to build one. Regardless, it is clear that much will remain undecided until the Court rules.
Tuesday, December 06, 2011
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