Affordable Care Act

US Faces Task of Handling Health Exchanges as States Decline

No doubt they will be efficient and functional!


Fourteen U.S. states and the District of Columbia so far have told the federal government they plan to operate healthcare exchanges under President Barack Obama's reform law, leaving Washington with the daunting task of creating online marketplaces for at least two-thirds of the country.

On the eve of a federal deadline for states to say whether they will run their own exchanges, a top U.S. healthcare policy official told lawmakers that the exchanges will start enrolling eligible families starting on Oct. 1, 2013.

"I am confident that states and the federal government will be ready in ten months, when consumers in all states can begin to apply," Gary Cohen, director of the Center for Consumer Information and Insurance Oversight, told a health oversight panel in the U.S. House of Representatives.


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  1. Cato did a webinar on this subject and it seems the most likely avenue to kill the beast.
    As I understand it, if X% of the population has no access to those wonderful ‘we’ll fix everything’ exchanges (which were, like the rest of it, lies from day one) we’re going to see lawsuits over unequal taxation, not to mention interstate competition for jobs from the tax disparities, which are huge.
    Fantasyland only works within the park boundaries.

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