Dear Governors and Legislatures of (about) 30 states:
Grow up. You don't like Obamacare. Some of y'all feel that the Federal Government overstepped its authority no matter what the Supreme Court said. We get that. But by throwing a snit fit, you are allowing the Feds to take even more power from you and doing your constituents a disservice.
As of
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Jane, I think the states which refuse to step up will have very ability to stop the federal government from doing so. They can't exactly block websites at a state-by-state level, and any attempt to punish participating insurance companies would get met by a very fast lawsuit and injunction.
The one obstacle I see is that the Affordable Health Care Act is so badly written it isn't 100% clear that the Feds can subsidize policies set up under their own exchange rather than a state exchange. I suspect that court case will take a few extra months to resolve.
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