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Can the states by themselves now unravel ObamaCare?

AdamT said:
States can opt out of the Medicare expansion, though they would be idiotic to do so (because it costs them nothing for three years and only 10% after that). But they cannot avoid exchanges. If they fail to set up their own then state residents will be able to take advantage of a federal exchange.
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Everyone knows that the Medicare subsidies are temporary; they are designed to suck the states in. As for the exchanges, mass refusal will tax the Fed's ability to set up dozens of exchanges. Recalcitrant states can't stop the scheme, but they can throw a lot of sand in the gears.
 
Kandahar said:
It's still a Prisoner's Dilemma for the states. Even if some governors honestly believe that the nation as a whole would be better off without the Medicaid expansion (or any other source of federal funding to the states), no state wants to be the sucker that turns down money while other states participate. Each individual state would be better off with that money, regardless of their ideology.
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You underestimate how much people hate Obamacare.
 
AdamT said:
I'm pretty sure that Medicaid is better than nothing, which is the alternative.
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Depends.
Because some practitioners milk medicaid, by doing unnecessary procedures, in order to get more money.
If you're on that end of the stick, it's not better.

Adding more people to medicaid, my in fact, turn the program into nothing.
Where more doctors stop accepting it as valid coverage, requiring more and more people to utilize a smaller pool of medical services.

It's one of the major reasons I'm against it.
People who need it the most (disabled and children) could be screwed by the reduction in available services.
 
Vermont is allready getting rid of ObamaCare by implimenting single payer, as they should do.
 
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