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View Diary: More Republican governors opt for federal control of health care exchanges (191 comments)

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  •  I wouldn't say no cost controlling mechanisms (7+ / 0-)

    Well there is the non profit option being negotiated by OPM. That will compete with all the other plans in the state exchanges. It is close to the public option and should provide competitive pressure to keep costs down.

    Then there is the fact that insurance companies have to use at least 80% of revenue for handling claims. That also should help keep costs down.

    •  ? (1+ / 0-)
      Recommended by:
      chicagoblueohio

      Thanks, but not my question though.

       Here it is the question I asked......

      What will those Govs do for the 23 million (0+ / 0-)

      not covered by ACA?

      ....Obamacare has a number of serious shortcomings. Even if it works entirely as intended, it will still leave 25 million to 30 million people without any coverage at all.
      What will WE do, for that matter

      Move Single Payer Forward? Join 18,000 Doctors of PNHP and 185,000 member National Nurses United

      by divineorder on Fri Nov 16, 2012 at 11:26:30 AM PST

      [ Parent ]

      •  I was just reading all of the quoted text (2+ / 0-)
        Recommended by:
        glorificus, chicagoblueohio

        and had an issue with that part. As for the 23 million, well it's not good but things are better than they were before. We now have a foundation to grow on.

        •  the 23 million (30 million) (3+ / 0-)
          Recommended by:
          MrSpock, alba, ems97206

          are those that could afford it, but choose not too, but do not make enough to be subjected to the mandate (roughly those earning between 15k and 60k)

          95% of all life forms that once existed on earth are now extinct. It is only a matter of time until the Republicans follow suit.

          by PRRedlin on Fri Nov 16, 2012 at 11:49:43 AM PST

          [ Parent ]

          •  Nope. Medicaid not expanded. (1+ / 0-)
            Recommended by:
            Involuntary Exile

            The Supreme Court's Obamacare decision made the law's Medicaid expansion optional, not mandatory. The usual-suspect GOP governors and legislatures will decide not to expand it. This means middle-class folks will get a healthcare subsidy but poorer folks (who don't qualify for pre-existing Medicaid) don't.

            I.e., in my state (Georgia) and a number of others, the only way for a poor adult to get Medicaid is to be either (a) elderly, (b) disabled, or (c) a custodial parent of minor children. If you're just a nothing-special adult with no minor kids, in these states you can't get Medicaid no matter how poor you are.

            What's coming is:

            1. (Fairly obvious)--a state-by-state fight over Medicaid expansion.

            2. (I predict)--an Equal Protection lawsuit against the non-Medicaid-expanding states and the US government, alleging that it's irrational to deny a subsidy to poorer people that's given to better-off people. This could result in the subsidy being extended to all not covered by Medicaid...or it could result in all of Obamacare being struck down.

            "The true strength of our nation comes not from the might of our arms or the scale of our wealth, but from the enduring power of our ideals." - Barack Obama

            by HeyMikey on Fri Nov 16, 2012 at 03:12:32 PM PST

            [ Parent ]

            •  I keep running into Georgians on here (2+ / 0-)
              Recommended by:
              HeyMikey, Heiuan

              There are more of us than our election results show, or everyone in Decatur is on Kos....

              "I'm not worried. If there's something bad out there, we'll find, you'll slay, we'll party!" -- Xander

              by Finnegan05 on Fri Nov 16, 2012 at 07:21:34 PM PST

              [ Parent ]

              •  I used to live in Decatur. (0+ / 0-)

                Moved to Cobb in '93 to be nearer my wife's family.

                I still miss Decatur.

                "The true strength of our nation comes not from the might of our arms or the scale of our wealth, but from the enduring power of our ideals." - Barack Obama

                by HeyMikey on Fri Nov 16, 2012 at 09:16:52 PM PST

                [ Parent ]

      •  We, can't do much (4+ / 0-)

        If the state does their own exchange, they would be required to raise the threshhold of the poverty level for medicaid eligability.

        By them kicking it to the federal government, the threshhold does not raise. (as it was stricken from the law by the right on the federal level)

        I.e. the governors themselves screw the middle class.

        95% of all life forms that once existed on earth are now extinct. It is only a matter of time until the Republicans follow suit.

        by PRRedlin on Fri Nov 16, 2012 at 11:48:42 AM PST

        [ Parent ]

      •  Those uncovered will be those who could (0+ / 0-)

        afford to be covered but choose not to be covered and pay the penalty instead of buying insurance. Medicaid will be available to those making up to 133% of the poverty level (assuming that their states opt to participate in Medicaid expansion - we'll see how that works out as some of the hard line R governors seem to be softening their stance against participating).

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