This is why the state must resist implementing Obamacare.
Since the Supreme Court upheld the health insurance mandate in Obamacare, conservatives have taken the battle against the law to the state level arguing that the law can still be resisted by states refusing to go along with the implementation of health care exchanges and the expansion of the Medicaid program.
Both the state implementation of exchanges and the Medicaid expansion were provisions of the law designed to lure the states into accepting responsibility for huge portion of the law and its cost, thus hiding the real cost of the bill during the debate over its passage.
Critics of these efforts to resist have insisted that it doesn’t matter if the states implement the exchanges or not noting that if the states don’t do it the federal government. But therein lays the rub. According to the law as written, the only health insurance plans can be subsidized are those sold through the state exchanges. There is no subsidy for insurance plans bought through federal exchanges.
Absent that linchpin in the law, covering those required to buy health insurance but who cannot afford it, the Obamacare law falls apart...
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