Green Room

If ObamaCare is such a great deal …

posted at 12:01 pm on December 18, 2012 by

… why aren’t more states going for it?  Investors Business Daily points out the apparent contradiction:

Under ObamaCare, states were supposed to agree to set up so-called insurance exchanges — which would act as a clearinghouse for government-approved health plans and distribute the insurance subsidies included in the law.

But just 18 states have agreed to build them. The rest — which include eight run by Democratic governors — are leaving it to the federal government to do the dirty work of setting up these massively complicated exchanges.  That’s a remarkable vote of no confidence on a central element of ObamaCare, and one that’s caught the White House completely by surprise.

Which means the Obama administration now has to figure out how to run exchanges in 32 states — a task it is hardly prepared to take on, if it’s capable of ever handling it at all.

Why should states play along? Setting up an exchange only means that states will have to spend the money to run them — which will cost tens of millions of dollars they don’t have — and then suffer the blame when things inevitably go horribly wrong.

Meanwhile, nine states have said they won’t expand Medicaid — and more may join them — which undermines the other leg of the ObamaCare stool that was supposed to provide coverage for another 32 million.

Maybe they know a bad deal when they see it.  Partisan politics can’t explain all of the reluctance, especially not with the Democratic governors who are balking at the plan.  The unfunded liabilities in Medicaid expansion alone in the outer years have to be daunting, especially for states who already can’t cover their current obligations.

A wise Congress would be asking this question, especially as part of the overall issue of entitlement liabilities, but don’t hold your breath on that until 2015 at the earliest.

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Why did Sebelius grant over 1000 waivers, too?

Wethal on December 18, 2012 at 12:13 PM

BUCK FARACK.

Nutstuyu on December 18, 2012 at 12:20 PM

A wise Congress

It would be nice if the United States had that.

Instead, we have a Ship Of Fools.

MichaelGabriel on December 18, 2012 at 12:27 PM

… why aren’t more states going for it?

Because they’re racist?

forest on December 18, 2012 at 12:43 PM

Why did Sebelius grant over 1000 waivers, too?

Wethal on December 18, 2012 at 12:13 PM

Any low-information idiot who blathers on with praise for Obamacare should be smacked over the head with this question swiftly and repeatedly.

Why should states play along? Setting up an exchange only means that states will have to spend the money to run them — which will cost tens of millions of dollars they don’t have — and then suffer the blame when things inevitably go horribly wrong.

The ultimate goal of Obamacare was for it to go horribly wrong. But Obama has been greatly undercut in his concurrent objective of blaming state governments for the failures, so he’s trying like hell to force states to go along. It isn’t panning out well for him, so far. He does still get to demagogue doctors and insurers – he’ll always have that, unfortunately.

86 on December 18, 2012 at 12:53 PM

Direct election of Senators really did a number on this country….

ChrisL on December 18, 2012 at 2:06 PM

The biggest unasked question of all, If it’s such a good thing, why doesn’t it apply to all memebers of the Admin and Congress?

rjoco1 on December 18, 2012 at 3:26 PM

Because they’re racist?

forest on December 18, 2012 at 12:43 PM

Damn it, too slow!

Xasprtr on December 18, 2012 at 4:47 PM

Direct election of Senators really did a number on this country….

ChrisL on December 18, 2012 at 2:06 PM

Ratification of the 17th was the day we stopped being a republic and started being a democracy. Democracies last until the people learn they can vote themselves gifts from the treasury. What’s a better gift than free health care?

Odysseus on December 18, 2012 at 11:29 PM

A wise Congress would be asking this question

Heck, Ed, a wise Congress would repeal the law as unconstitutional, then eliminate all restrictions on coverage at the federal level, as well as removing the employer-funded-insurance incentive so we could all get our own dang coverage. Yeah, I don’t see that happening, either.

GWB on December 19, 2012 at 9:02 AM


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