ObamaCare Program Begins Machinations

The key part of the ObamaCare package is a creation of new health insurance markets that will allow middle-class households and small businesses to shop for private coverage. The exchanges will open for business on January 1st, 2014 and most of the customers will get government subsidies to help pay for premiums. According to The Associated Press, 21 states plus the District of Columbia have already indicated they want to be a part of the program, either by building and running their own exchange or partnering with Washington. The states face a January 1st, 2013 deadline for the federal government to approve their plans.

Sixteen of those states (and the District of Columbia) have a Democratic majority such as California and New York, but also include Republican majority states such as Mississippi and New Mexico. Five other states have stated they want to partner with the federal government.

Those states would handle consumer issues and oversight of health plans in the exchanges, while the feds do the heavy lifting by enrolling individuals for coverage and determining who’s eligible for government assistance. Among these states are Arkansas and North Carolina.

There are still unanswered questions and the Obama administration has stalled releasing major regulations that would answer those questions.

Some of their main concerns are hidden costs of operating the exchanges and the sheer bureaucratic complexity of the new system. … Open enrollment for exchange plans will begin even sooner, Oct 1, 2013.

The Republicans favor state control 81% to 17%. Democrats have slim majority favoring state control.
Now that BH Obama has been reelected and the majority of senators are Democrats – plus the Supreme Court decision declaring the healthcare program is constitutional, there is no chance to repeal ObamaCare. This means, following congressional history, that once an “entitlement” program is approved it will remain permanently regardless of its inefficiency, not working as planned, or prove too costly. That means that those who favored the system who later find out that it is not working, will never see it repealed.
They deserve whatever they get. Unfortunate for those who were against it as well as against Obama serving a second term in the White House.