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Health Care Exchanges and the Two Americas

Who:  Politico

What: Many ‘Red’ states are refusing to set up their own health care exchanges and telling the Federal government, “Here, you can run it.” For the administration, it’s a dangerous endeavor: the text of President Barack Obama’s health law didn’t envision widespread abdication by the states. For those on the left, they see this as an opportunity to run a laboratory of sorts, as they were pushing for a single-payor system

Why: Since ultimately the states are responsible for taking care of their own constituents, those states which have initially refused to go along with the Affordable Care Act’s health care exchange provision may feel compelled to ‘play nice’ or risk losing control all together. And in fact, a few of those states have already hinted that they will cooperate with the Feds.



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