WSJ: Yep, the feds are totally unprepared to launch ObamaCare exchanges

posted at 1:01 pm on November 28, 2012 by Mary Katharine Ham

The blaming of governors for not implementing ObamaCare is in hyperdrive for a reason— the federal government and liberals backing ObamaCare overestimated the government’s ability to build a system of the complexity and technological intricacy necessary to pull this off. They counted on states to do some heavy lifting (with a hefty price tag) to make this happen, yet have given them very little regulatory guidance and passed the bill in a way least likely to engender cooperation.

The current rumpus is over ObamaCare’s “exchanges,” the bureaucracies that will regulate the design and sale of insurance and where 30 million people (and likely far more) will sign up for subsidized coverage. States were supposed to tell the Health and Human Services Department if they were going to set up and run an exchange by October, but HHS delayed the deadline to November, and then again at the 11th hour to December.

Sixteen states have already said they won’t participate. Another 11 are undecided, while only 17 have committed to doing the work on their own. Six have opted for a “hybrid” federal-state model. That means HHS will probably be responsible for fallback federal exchanges in full or in part in as many as 25 or 30 states.

While there’s certainly a political component to declining to shoulder this burden for the feds, there are very serious questions about whether the states can accomplish this task by October, when exchanges are to open for enrollment, and whether it will work at all. Why would governors put themselves on the financial and political hook for this experiment?

The opposition isn’t so much political as practical. Or rather, the vast logistical and technical undertaking to build an exchange helps explain why so many Governors resisted ObamaCare in the first place.

States have regulated the small business and individual insurance markets for decades (some well, others less so). Now they’re supposed to toss everything out for a complex Washington rewrite, which is still being rewritten. The exchanges will also help enforce the individual mandate and premium increases. They’ll also have to spend a ton of money. Ohio estimates it will cost $63 million to set up an exchange and $43 million to run annually, based on a KPMG study.

Most spending will go to information technology, in an era when many states still run Medicaid using paper forms and pneumatic tubes. These systems are supposed to allow consumers to review health plans online (or in person and by mail and fax), pick one and then ping HHS and the Internal Revenue Service to determine who is eligible for what subsidies. Private businesses spend years developing and refining such consumer software. States need to fund call centers to field queries and even hire “navigators” to actively encourage people to enroll.

I wrote a long piece about the technical obstacles of creating exchanges over Thanksgiving week, which echoes all of these concerns. Note that the administration just put forth a proposed rule for what exchange plans must cover last week, 32 months after the bill passed. The administration held off on regulations for political reasons of their own— they knew they’d lay bare ObamaCare’s broken promises:

Supporters are also worrying over the realization that running exchanges for dozens of states may be a technical heavy lift that’s just not possible. ObamaCare gave states the option to let the federal government set up an exchange for them, and though many states have worked without regulatory certainty to create those exchanges, noticeably absent is any hint of a federal exchange and what it would look like. There’s a reason for that, as the New York Times reported in August:

The markets, known as exchanges, are a centerpiece of President Obama’s health care law, and running them will be a herculean task that federal officials never expected to perform.

When Congress passed legislation to expand coverage two years ago, Mr. Obama and lawmakers assumed that every state would set up its own exchange, a place where people could shop for insurance and get subsidies to help defray the cost.

Oops. Who could have anticipated that in a diverse country where more than 50 percent still oppose the massive federal overhaul of health care passed against the will of the people through a special legislative process with absolutely no bipartisan support, with its costs and requirements systematically hidden or avoided for 32 months, that some states wouldn’t jump in with both feet? This also sets up a constitutional fight over whether the federal government can even offer subsidies through its own exchange (the law only establishes subsidies through state-based exchanges, not the federal one). Luckily, in the world of an ObamaCare supporter, all of the mistakes made in drafting the law or overestimating the ability of the federal government to implement it can be laid at the feet of Republican governors, not you know, the people who drafted the law.

But let’s say every single state was willing to build an exchange. These state exchanges, as the Washington Post notes, are often described as a Travelocity site for health care, but that oversimplifies the matter. If all states needed to do was build a decent website— well, I might still be skeptical, but there’d be a chance. Once again, though, states are missing an important puzzle piece which is the responsibility of— wait for it— the federal government:

A state can’t figure out how much an individual earns on its own. For that, it needs to ping a federal data hub that does not yet exist.

The federal government recently contracted with the healthcare IT firm QSSI to build that data hub, and they plan to make it available to both the exchanges that states run and those that the federal government sets up. It will determine whether individuals are eligible for Medicaid, subsidies or no benefit at all.

The challenge here is for states, which may have complex Medicaid rules or old computer systems, to actually plug into the federal hub.

“In many states, the Medicaid system is the best technology that the 1980s could offer,” says Bruce Caswell, who runs the health-services segment of Maximus, a firm that works on large government data systems. “As a consequence, they might have brittle interface capabilities.”

Some free-market health care experts anticipated HHS Secretary Kathleen Sebelius would debut a fully formed federal exchange days after the election, imperfect but ready for imposition on any state that deigned to decline making their own exchanges. When Sebelius pushed back state deadlines for announcing their exchange plans, that was the tell that the administration may be as far from prepared as some of the states they’re scapegoating.

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If your are at all confused, this should clear it up. The Obama economy meets reality.

SWalker on November 28, 2012 at 1:05 PM

“Deem” them launched. Problem solved.

The king has spoken.

Joe Mama on November 28, 2012 at 1:06 PM

SHOCKA!!!

NapaConservative on November 28, 2012 at 1:06 PM

overestimated the government’s ability

Which is a thing only done by utter fools.

Bat Chain Puller on November 28, 2012 at 1:06 PM

WSJ: Yep, the feds are totally unprepared to launch ObamaCare exchanges

…And are all the more racist because of it.
/Chris Matthews

Gatsu on November 28, 2012 at 1:06 PM

Maryland is getting a head start.

Grantman on November 28, 2012 at 1:07 PM

Well, it seems those ‘racist’ governors need to get on the stick.

Corporal Tunnel on November 28, 2012 at 1:08 PM

oh but let me guess that they are fully prepared and armed (IRS) to collect the taxes, fees, duties, revenues and other hosannas which we as proles duly owe to the beast, right?

ted c on November 28, 2012 at 1:13 PM

Maryland is getting a head start.

Grantman on November 28, 2012 at 1:07 PM

Every day I get a little more disgusted with my state.

Gatsu on November 28, 2012 at 1:13 PM

House of Cards.

thebrokenrattle on November 28, 2012 at 1:14 PM

oh but let me guess that they are fully prepared and armed (IRS) to collect the taxes, fees, duties, revenues and other hosannas which we as proles duly owe to the beast, right?

ted c on November 28, 2012 at 1:13 PM

Well duh…

SWalker on November 28, 2012 at 1:14 PM

I hope a vast number of states tells bhocare to go pound sand! Do your 10th states, please!
L

letget on November 28, 2012 at 1:16 PM

heh

own it dear leader….

the states that agreed to do it on their own…are they all blue states?

cmsinaz on November 28, 2012 at 1:16 PM

Should the two states with waivers expect them to expire?

Implementing ObamunistCare is going to be a complete disaster.

dogsoldier on November 28, 2012 at 1:16 PM

letget on November 28, 2012 at 1:16 PM

THIS

cmsinaz on November 28, 2012 at 1:16 PM

Single payer, by design.

Schadenfreude on November 28, 2012 at 1:17 PM

will be a herculean task that federal officials never expected to perform.

do they know what assume means?

idiots

cmsinaz on November 28, 2012 at 1:17 PM

Single payer, by design.

Schadenfreude on November 28, 2012 at 1:17 PM

Yes, its designed to collapse so that everybody will “see” that a single-payer system is just a better way to go.

Joey24007 on November 28, 2012 at 1:19 PM

WSJ: Yep, the feds are totally unprepared to launch ObamaCare exchanges

Barky and his junta are quite happy about this mess. More chaos means more opportunities to make up lies about political opponents.

“Never let a crisis go to waste.” This just gives them more opportunity to issue dictats and grab more un-Constitutional powers (not that the Constitution even means anything in the American Socialist Superstate … but, if it did …).

It’s divorce time.

ThePrimordialOrderedPair on November 28, 2012 at 1:20 PM

state’s have already proven they can’t properly administer Medicaid (fraud runs rampant because the feds pay a minimum of 50% of the bill and there is no compensation or other strong incentive to police it). And I think that the states would be constantly under attack from the Feds for not properly interpreting the law that nobody has finished reading yet. So let the Fed’s do it. Careful what you wish for…

teejk on November 28, 2012 at 1:21 PM

Is this the part where we start to find out what’s in it?

Flange on November 28, 2012 at 1:22 PM

Another day filled with “Well, Duh” headlines.

The Rogue Tomato on November 28, 2012 at 1:22 PM

Dubya’s fault

forest on November 28, 2012 at 1:23 PM

I wonder when the states will figure out all they have to start doing is ignoring federal dictates.

darwin on November 28, 2012 at 1:25 PM

Flange on November 28, 2012 at 1:22 PM

heh

cmsinaz on November 28, 2012 at 1:26 PM

Is this the part where we start to find out what’s in it?

Flange on November 28, 2012 at 1:22 PM

Thread Winner! Shut it down!

JPeterman on November 28, 2012 at 1:28 PM

Yes, its designed to collapse so that everybody will “see” that a single-payer system is just a better way to go.

Joey24007 on November 28, 2012 at 1:19 PM

That may be a problem though, I think most people are seeing these “exchanges” failing and not the insurance industry, not to say that blame won’t be assigned to them, but given the weight these things have even before they are up and running points to them blowing up on the runway, if not two inches off the ground…

I don’t see Obama or the Dems letting their baby “fail” though. Expect more of the same out the door, figure it out later, BS we saw with the actual writing of the bill to be done here.

Gatsu on November 28, 2012 at 1:29 PM

Ok, I’ll admit it…it’s gonna be a little fun watching this collapse upon itself.

nextgen_repub on November 28, 2012 at 1:31 PM

Ask any Veteran that uses the VA system how well it works. I believe you will find that most will say that the Doctors and Staff are great, but the system is terrible. This is what ObamaCare is to come. And you know, you need to see a Doctor sometimes sooner than two to three weeks, or a specialist in less than three months.

DDay on November 28, 2012 at 1:34 PM

The deadline was pushed back so HHS and the Junta could put pressure on the states and then blast recalcitrant governors for taking away their citizens’ “civil right” of healthcare.

Bastards all. Let it burn, NOW.

Rixon on November 28, 2012 at 1:35 PM

Get out your torches and pitchforks, Steven Crowder has crossed over to the Dark-side and is now officially EVIL

Note to HotAir Admins… DO NOT MAKE A THREAD FROM THIS STEVEN CROWDER VIDEO, IT WILL OBLITERATE HOTAIR…

SWalker on November 28, 2012 at 1:35 PM

ObamaCare has already worked for me.

Since the election I have lost weight, exercised more, eaten better, slept more and decreased stress – because I know I won’t be getting any medical care after 2013……

tomg51 on November 28, 2012 at 1:37 PM

Ok, I’ll admit it…it’s gonna be a little fun watching this collapse upon itself.

nextgen_repub on November 28, 2012 at 1:31 PM

The only problem is that in the mind of the Left nothing can ever be their fault. Their unshakeable faith in Big Government can not, and will never, subside. They are essentially religious zealots that worship the welfare/nanny state.

Therefore, the obvious flaws in ObamaCare will inevitably be blamed on the “free market,” racism, sexism, bigotry, the GOP, Bush, Reagan, the collapse of the EU, evil “rich” people, the Koch Bros, Fox News, etc.

Anything and everything will be blamed for the debacle that is ObamaCare. The Legacy Media, Leftist comedians/pundits and entertainers will regurgitate the talking points.

visions on November 28, 2012 at 1:44 PM

tomg51 on November 28, 2012 at 1:37 PM

Yep, that process seems to be working for me as well. You might want to include some type of multi-vitamin.

DDay on November 28, 2012 at 1:45 PM

Ok, I’ll admit it…it’s gonna be a little fun watching this collapse upon itself.

nextgen_repub on November 28, 2012 at 1:31 PM

It will be exactly this much fun…

SWalker on November 28, 2012 at 1:47 PM

Claude Rains unavailable for comment.

totherightofthem on November 28, 2012 at 1:47 PM

You might want to include some type of multi-vitamin.

DDay on November 28, 2012 at 1:45 PM

I suggest a long term strategy that includes the care and feeding of copper and lead…

SWalker on November 28, 2012 at 1:48 PM

Get out your torches and pitchforks, Steven Crowder has crossed over to the Dark-side and is now officially EVIL…

Note to HotAir Admins… DO NOT MAKE A THREAD FROM THIS STEVEN CROWDER VIDEO, IT WILL OBLITERATE HOTAIR…

SWalker on November 28, 2012 at 1:35 PM

Too late.

http://hotair.com/greenroom/archives/2012/11/28/video-is-marijuana-harmless/

CurtZHP on November 28, 2012 at 1:49 PM

SWalker on November 28, 2012 at 1:35 PM

Too late.

http://hotair.com/greenroom/archives/2012/11/28/video-is-marijuana-harmless/

CurtZHP on November 28, 2012 at 1:49 PM

HotAir is Doomed…. Doomed I tell you… ;p

SWalker on November 28, 2012 at 1:50 PM

My inner Louis Renault sings with joy.

NY Conservative on November 28, 2012 at 1:51 PM

So much fail.

Good Lt on November 28, 2012 at 1:51 PM

ObamaCare was designed to fail. Only problem was, in the heady days of 2009, the Democrats thought they’d rule for a generation. They believed that once the Oooops! factor entered the equation, and ObamaCare began to totter, they’d move right into a one-payer system.

They never saw 2010 coming.

GarandFan on November 28, 2012 at 1:53 PM

SWalker on November 28, 2012 at 1:35 PM

Too late.

http://hotair.com/greenroom/archives/2012/11/28/video-is-marijuana-harmless/

CurtZHP on November 28, 2012 at 1:49 PM

ROTFLMAO… I got there first… look at the time stamp… ;p

posted at 1:46 pm on November 28, 2012 by Ed Morrissey

SWalker on November 28, 2012 at 1:54 PM

I’m sure this will somehow affect me negatively, since I have a Cadillac policy.
Since America is lost, I’ll sit back & watch the chaos.
WTF else is one to do?
Bcs too many Americans are f%^&ing idiots who think the Fed needs to save them from their stupidity.
The 10th is dead.
Bcs the states are cowards.

Badger40 on November 28, 2012 at 1:54 PM

SWalker on November 28, 2012 at 1:35 PM

Too late.

http://hotair.com/greenroom/archives/2012/11/28/video-is-marijuana-harmless/

CurtZHP on November 28, 2012 at 1:49 PM
HotAir is Doomed…. Doomed I tell you… ;p

SWalker on November 28, 2012 at 1:50 PM

Off to the Greenroom.
That was funny !

Jabberwock on November 28, 2012 at 1:56 PM

Bcs too many Americans are f%^&ing idiots who think the Fed needs to save them from their stupidity.
The 10th is dead.
Bcs the states are cowards.

Badger40 on November 28, 2012 at 1:54 PM

Not dead yet… But this will kill them

SWalker on November 28, 2012 at 1:56 PM

thank you, justice roberts.

sesquipedalian on June 28, 2012 at 10:12 AM

Chuck Schick on November 28, 2012 at 1:57 PM

The only problem is that in the mind of the Left nothing can ever be their fault.

visions on November 28, 2012 at 1:44 PM

Oh I know, and since they’re going to blame all failures on conservatives anyway I might as well see some positive in watching it implode.

Besides, I still have a little faith (why I don’t know) that while most will buy their garbage lies, that some will actually be smart enough to see they were sold a shinola sandwich.

nextgen_repub on November 28, 2012 at 2:03 PM

They’re still reading the bill, donchyaknow?

And since they get paid by the hour… they should have it finished by… 2050 maybe…

ajacksonian on November 28, 2012 at 2:14 PM

Next up: Congress rushes forward with plans to replace ObamaCare with ObamaCare II.

Aitch748 on November 28, 2012 at 2:21 PM

All is going according to plan. Socialism, here we come.

Philly on November 28, 2012 at 2:23 PM

They should just declare Obamacare too big to fail, bail it out, and force it to merge with other insurance exchanges that don’t exist. That way it will be saved, and like, 4mn jobs will be created or saved, also unemployment would go down to -2%.

Seriously, this is fun. I can’t wait to see the whole thing fall right on its face.

Gatsu on November 28, 2012 at 2:27 PM

I cannot wait till they have to go grovelling to the House for massive changes to this clusterfark. No regulation changes without massive defunding.

Chuck Schick on November 28, 2012 at 2:28 PM

I work in IT for state govt, this is never going to work. states don’t have the money or manpower; the feds will fail at it too

burserker on November 28, 2012 at 2:31 PM

With many employers set to drop health care, and a broken system barring entry into new plans, it’s pretty safe to say that we are going to end up with more uninsured people at the end of all this.

TexasDan on November 28, 2012 at 2:37 PM

With many employers set to drop health care, and a broken system barring entry into new plans, it’s pretty safe to say that we are going to end up with more uninsured people at the end of all this.

TexasDan on November 28, 2012 at 2:37 PM

That’s a safe bet. In only 2+ years since it was passed, they doubled the 10 year cost estimate and cut the number of insured by 10 million.

Chuck Schick on November 28, 2012 at 2:41 PM

Bush is more evil than we ever could have supposed for forcing Obama to inherit this mess.

Lily on November 28, 2012 at 2:42 PM

oh but let me guess that they are fully prepared and armed (IRS) to collect the taxes, fees, duties, revenues and other hosannas which we as proles duly owe to the beast, right?

ted c on November 28, 2012 at 1:13 PM

When Soros writes a bill, he goes for full destruction. His needs are deep. Cash in on the down trend. Break the hold outs to nation rebuilding. Seize assets. Empty the Treasury so the nation cannot recover.

The general formula, which works in the short run, is to back the opposition into a corner. When the opposition protests, demonize them. When the opposition capitulates, marginalize them. When the opposition re groups, well, by then he will be dead.

He knows this too. This is why he is so driven. When even gods die, life on the raw is terrifying. Fear is sublimated and emerges as a need to control. It helps to be a sociopath

entagor on November 28, 2012 at 2:43 PM

I wonder when the states will figure out all they have to start doing is ignoring federal dictates.

darwin on November 28, 2012 at 1:25 PM

And lose federal funding?

Still, all in all, should be a dandy train wreck. Too bad we’re all on the train.

shinty on November 28, 2012 at 2:45 PM

The Governors need to let it Implode. They should be giving interviews to the New Media only stating that the Feds & Benedict Obama has no Idea what they are doing! The exchanges the Fed was supposed to have ready is not even in concept form! They have no idea what they are doing, yet they want us to eat their failure to the tune of Trillions! If they were a business doing this, they would’ve been arrested for FRAUD! They are talking about, so-called exchanges, they don’t have a clue how to make work! Imagine the NY Stock Exchange, without anyone knowing how to buy or sell any stock, that’s what the Regime has going on here! FRAUD! But then, why should this be any different from anything else the Traitor-in-chief does?

http://www.paratisiusa.blogspot.com

God Bless America!

paratisi on November 28, 2012 at 2:45 PM

Hey, ObamaCare is drowning!
Quick, Republican Governors: throw it an anchor!

The news that Sibelius et al haven’t a clue as to how to implement this, and ‘misundersestimated’ state willingness to cave—sorry, ‘cooperate’–gives me joy.

orangemtl on November 28, 2012 at 2:48 PM

Every day I get a little more disgusted with my state.

I got disgusted with Maryland back in the ’90s when the Governor went on TV to show how easy and quick it was to take the trigger lock off a gun, spent 10 minutes fumbling with it while he giggled at the screen. Thank God I live in the Free State of Missouri now.

Secession or bust.

quikstrike98 on November 28, 2012 at 2:55 PM

War is coming….be prepared….to pay your doctor in cash
This will all end bloody.

dirtengineer on November 28, 2012 at 3:01 PM

Single payer, by design.

Schadenfreude on November 28, 2012 at 1:17 PM

Because a government that can’t make Obamacare work is sure to have success running health care for the entire country.

CJ on November 28, 2012 at 3:13 PM

Does anyone have a list of which states are trying to implement, which have decided not to, which are still on the fence, and which are going for a hybrid?

cptacek on November 28, 2012 at 3:13 PM

darwin on November 28, 2012 at 1:25 PM

Actually we just need to follow Texas’ lead and take it a little bit further. For instance what would happen if States refused to offer Medicaid. Just threw it to the feds.

One, every state who did that would get financially well in a hurry, and all the states with lavish benefits would get the people going there. I mean, why can’t we begin to secede without really declaring anything – just start doing it?

Zomcon JEM on November 28, 2012 at 3:32 PM

Does anyone have a list of which states are trying to implement, which have decided not to, which are still on the fence, and which are going for a hybrid?

cptacek on November 28, 2012 at 3:13 PM

Just move to Texas.

TexasDan on November 28, 2012 at 3:38 PM

WSJ, Yup, the feds totally unprepared to launch Obamacare exchanges

FIFY

rik on November 28, 2012 at 3:43 PM

What a nightmare.

Last I heard Indiana is saying thanks but no thanks, and I do not think that Obama is going to able to blame this on Mitch Daniels or Mike Pence either.

Terrye on November 28, 2012 at 3:49 PM

I hope a vast number of states tells bhocare to go pound sand! Do your 10th states, please!
L

letget on November 28, 2012 at 1:16 PM

I kinda like this guy’s approach, myself…

affenhauer on November 28, 2012 at 3:52 PM

Maryland is getting a head start.

Grantman on November 28, 2012 at 1:07 PM

Every day I get a little more disgusted with my state.

Gatsu on November 28, 2012 at 1:13 PM

Not to worry (or maybe so depending on your viewpoint)…

This is merely a proposal for a $4 million marketing campaign. There’s not a darned thing in there about actually BUILDING the exchange… just a $50K line item for branding (logos, color schemes, etc) of the site. The rest is all training, marketing and social media outreach.

I’ve worked on all sorts of projects for IT over the last few decades. It will probably take 3 months to put together documentation, put out an RFP, brief respondents and respond to questions, and finally select a finalist to build it. It will be millions of dollars and months of time to build, months of time to test, and time to build out the infrastructure and systems.

This is a cluster* on a grand scale. But not to worry… there are plenty of big consulting companies out there used to dealing with the government that will happily suck taxpayer money and deliver a broken system under a flurry of finger-pointing.

dominigan on November 28, 2012 at 3:53 PM

I got disgusted with Maryland back in the ’90s when the Governor went on TV to show how easy and quick it was to take the trigger lock off a gun, spent 10 minutes fumbling with it while he giggled at the screen. Thank God I live in the Free State of Missouri now.

Secession or bust.

quikstrike98 on November 28, 2012 at 2:55 PM

I left at about that time – didn’t go quite as far, though. I’ve almost got my parents convinced that departure might not be that bad an idea…

affenhauer on November 28, 2012 at 3:55 PM

And lose federal funding?

Still, all in all, should be a dandy train wreck. Too bad we’re all on the train.

shinty on November 28, 2012 at 2:45 PM

Actually, Roberts took that option off the table, at least as regards to forcing the states to expand Medicare or lose current funding.

SDN on November 28, 2012 at 3:59 PM

This is a cluster* on a grand scale. But not to worry… there are plenty of big consulting companies out there used to dealing with the government that will happily suck taxpayer money and deliver a broken system under a flurry of finger-pointing.

dominigan on November 28, 2012 at 3:53 PM

Ever hear of something called ‘Sentinel’? This goat-rope is gonna dwarf that one…

affenhauer on November 28, 2012 at 4:04 PM

This is a cluster* on a grand scale. But not to worry… there are plenty of big consulting companies out there used to dealing with the government that will happily suck taxpayer money and deliver a broken system under a flurry of finger-pointing.

dominigan on November 28, 2012 at 3:53 PM

Yes, it’ll be like the “virtual” border fence we were supposed to get a few years back. Billions of tax dollars spent on developing plans and designs and intalling various prototypes, none of which worked worth a damn. But a lot of well-connected border security “consultants” were able to live large on their lucrative government contracts for several years, so from the Dim perspective, it all worked perfectly. Just more wealth re-distribution from taxpayers to corrupt Dims and their cronies. Obamacare will be more of the same, just on a much larger scale.

AZCoyote on November 28, 2012 at 4:22 PM

SDN on November 28, 2012 at 3:59 PM

Why not just eliminate the extra MEdicaid things a state does. The feds fund the base level – make that the baseline. You want more, go to a state silly enough to decide to offer it.

In addition, the reason the states are also balking on the exchanges is because the feds are offering no flexibility on implementation and design – so they will be stuck. Even democrat states are beginning to realize that.

Zomcon JEM on November 28, 2012 at 4:36 PM

I’m fairly certain these exchanges are rascist. Know why? Because one will need internet, fax machine, or have to mail something in order to enroll. And since we all know that asking folks to have a government-issued ID for voting is rascist because the poor, the minorities don’t have access. How insulting and rascist that people will have to DO something to get hooked up with this? And its probably homophobic and sexist too. /sarc

DaBeesKnees on November 28, 2012 at 5:06 PM

…and the MSM will not care!

KOOLAID2 on November 28, 2012 at 5:24 PM

Just move to Texas.

TexasDan on November 28, 2012 at 3:38 PM

Lived in Texas for 5 years. Moved back home to Kansas after meeting my husband, who farms. Farm land doesn’t travel well.

cptacek on November 28, 2012 at 5:24 PM

Obama doesn’t need any of this to be implemented, so postponing it all is OK. It will help him financially and politically if it’s not implemented. The main thing is that he tried.

States don’t need to do anything – just await further instructions that will never come.

The interim Obamacare process is to walk into the ER, demand treatment and then leave without paying. They can’t ask for a SS number because that’s racist. BTW, don’t forget your free contraceptives on the way out.

virgo on November 28, 2012 at 9:54 PM

For some reason, I can’t get the image of Rick Perry biting off a chunk of Obama’s face out of my head.

ardenenoch on November 29, 2012 at 12:45 AM