So Far, 23 States Agree to Build Insurance Exchanges
12 are undecided; feds will build them in the rest
By John Johnson, Newser Staff
Posted Nov 17, 2012 9:55 AM CST
Maine Gov. Paul LePage: 'I'm not lifting a finger" to set up a health insurance exchange. Instead, the feds will do it.   (AP Photo/Robert F. Bukaty, File)

(Newser) – One huge tangible of President Obama's victory: With ObamaCare moving forward, states must decide in a month how they'll go about setting up health insurance exchanges where the uninsured can get coverage in 2014. The original deadline was yesterday (it got extended this week), and the AP takes stock of where things stand:

  • 23 states plus DC say they're on board with building exchanges; of those, 16 will do so on their own and seven will partner with the feds.
  • 15 states will do nothing to build the exchanges, meaning they are ceding total control to the federal government to do so. ("I'm not lifting a finger," Republican Maine Gov. Paul LePage told Bloomberg. “We’re not going to get involved. We’re going to let Mr. Obama do a federal exchange. It’s his bill.”
  • 12 states are undecided, including New Jersey, Arizona, and Florida.

Generally speaking, blue states are moving head with building the exchanges and red states are balking. But Politico notes that a "spirited back-and-forth" is taking place in the latter camp on which is the better option. Mississippi, for example, has decided to create its own exchange, begrudgingly: "I don't like it ... but it is the law," says the state's insurance commissioner. "If you default to the federal government, you forever give the keys to the state's health insurance market to the federal government."

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Showing 3 of 82 comments
cornelison
Nov 19, 2012 1:11 PM CST
It looks like The GOP trusts the FEDERAL govt. with the management health care. Those governors will have extra time to meet and lunch with lobbyists. In other breaking news, Sen. Lindsay Graham is very concerned with creating jobs. Sen. Graham, Please call John Boehner. If he's too busy to take your call, he's probably with the governors having lunch with lobbyists.
trebor171
Nov 17, 2012 2:33 PM CST
Your source is not credible, might as well have failed at wiki. P.O. lost 15+ billion dollars last year, and billions the year before. Who is funding this loser to the tune of minus 1+ billion per month. No bank you are aware of. First they are using airline accounting. Remember when the airlines used to lose billions every year but kept on flying.
Daniel-from-TN
Nov 17, 2012 2:11 PM CST
Synergetic Chaos - If you truly believe Republicans do not care if people have health insurance, then I suggest you stop getting your news from the mainstream media, the public relations department for the Democrat Party. Over 80% of Americans are already covered under some type of health insurance policy, according to the Insurance Institute, meaning less than 20% are now covered. However, ObamaCare will cost individuals more than any current insurance company's rates becaus it is based on everyone having the exact same coverage, whether they want or NEED that coverage. According to the Congressional Budget Office, the last remaining non-partisan government agency, if the federal government would just pay the insurance premiums for those who do not have insurance then the cost to taxpayers would be less than one-hundredth of 1% of the projected cost of ObamaCare. Republicans do not oppose people having health insurance. They just believe another out of control government agency is the wrong path to obtain insurance coverage for all. The AMA conducted a survey of doctors. A large percentage of doctors stated when ObamaCare goes into full effect in 2014 they will leave medicine and find new careers. The Reason? The government will decide how much a doctor should charge for services instead of the doctor. The government will also decide how much hospitals can charge for its services, which will force hospitals to lower the quality of medical care or close their doors; possibly both. Medical schools are afraid they will have to lower entrance standards for new medical students and lower performance standards to graduate those students, producing a lower quality of doctor, resulting in a lower quality of medical care. ObamaCare is NOT about health care. It is about control of the people. Health care is just the means to that control.