Quote:
Originally Posted by Danzig
actually, i would prefer if every state did that...rather than the feds doing a huge one size fits all for the country. because one size doesn't fit all in clothing or anything else for that matter.
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It is not "one size fits all" - you are mistaken. The states
do have complete individual control and flexibility to tailor their individual state insurance exchanges under Obamacare, in fact its what is most desired, and how the ACA was designed to work -
with states controlling their own exchanges.
So that's how it will be - the states
do control their own exchanges under the ACA. There are simply minimum things that need to be offered via the law.
Vermont, for example, is going whole-hog single payer for their state, within the ACA. Small state, easy for them.
Unfortunately, however, we have all these few silly Republican governors who refuse to participate and set that up for their citizens. That means that their citizens will still have an exchange, but it will be the federal "one size fits all" backup plan due to the governors failing to take advantage of the autonomy their state is given in the ACA.
I think Rick Perry has declined to set up an exchange for Texas, and perhaps the Gov. of Alabama, Virginia, Indiana (would have to look them up) So silly, especially for these "states rights!" proponents to give up state control and autonomy. Crazy of them.