*"Here’s a blueprint for the GOP’s sabotage act, which runs the gamut from spreading half-truths to, as John Boehner himself put it, “risk[ing] the full faith and credit of the United States.”
Refuse to expand Medicaid
The Supreme Court’s ruling last year gave states the right to opt out of the Medicaid expansion, which is one of the most significant pieces of the ACA in terms of the impact it will have on the uninsured and its importance to the overall success of the law. More than twenty states—most fully controlled by Republicans in the legislature and the governor’s office—are denying some of the neediest Americans care by refusing to expand the program. Some 9.7 million of the 15 million potentially eligible adults live in states that are refusing to expand or have not indicated whether they will do so.
Refuse to create state insurance exchanges
More than half the states have declined to establish their own insurance marketplaces. All but six are run by Republican governors and a Republican-majority legislature. Residents will still be able to buy insurance through the federal exchange, but without cooperation and promotion from state officials, it will be more difficult to reach the uninsured.....
Block improvements to the law
While implementation has brought certain weaknesses in the ACA to light, there’s about zero chance that the GOP will support operational or funding fixes. Some of the concerns raised—for example, that employers will cut full-time workers in order to avoid providing insurance for their employees—could be met with simple changes. If the GOP’s full-out attack on the Obama administration after its decision to delay the employer mandate for a year in order to smooth out some of these issues is any indication, the GOP will do no more than exploit efforts to improve the law.
Republicans squawking about rate shocks are presenting misleading numbers, particularly in Indiana and Ohio. One of the simplest ways the GOP fudges calculations to make anticipated premium prices look higher than they will be is by not factoring in the federal subsidies that will cut the cost of the premiums for most people buying coverage. Expect the volume of lying to rise when legislators return to their home districts during the August recess.
Discourage private partnerships
When Massachusetts was promoting Romneycare in 2007, the state partnered with the Red Sox to educate residents about the new law and encourage enrollment. Public education is key to the ACA rollout, too, and the White House has enlisted celebrities and sports franchises to raise awareness, particularly in target groups like healthy young men. The GOP is trying to scare off potential partners, and it has already succeeded with the NFL.
Refuse to assist constituents
Not only are Republicans spreading misinformation and ruining education campaigns, they have also indicated that they won’t help confused constituents navigate the law or access benefits. Congressional offices expect a wave of calls once enrollment begins in the fall, but several Republicans told The Hill they weren’t preparing to answer questions. “All we can do is pass them back to the Obama administration,” Utah Representative Jason Chaffetz said. “They’re responsible for it.”...........
..........Why work to undermine the Affordable Care Act so aggressively if, as Republicans claim, the law is fundamentally flawed? One reason is that the party hopes to leverage the chaos into political benefit. More significantly, the risks of an effective ACA are just too high. Once the full range of benefits begins to reach people with pre-existing conditions, low-income adults, employees and millions of other citizens, it’s going to be a lot harder to make the argument that the ACA is ruining the country or that such benefits should be denied."
A Blueprint for the GOP's Attempt to Sabotage Obamacare | The Nation