One positive effect of states' refusal to set up exchanges is that this might be a good way to reduce federal spending and debt. If all states declined, it is estimated that the federal deficit could be reduced by about $700 billion over 10 years.
Can the federal government, big as it is, cope with this task? It can't be easy, and it could take at least two or three years to build the technology since they are starting with Medicaid's 1980s technology.
Another way states can throw a roadblock in Obamacare and also reduce their own spending is by making a second decision not to sign on to Obamacare's expansion of Medicaid. The Supreme Court's Obamacare decision assured the states of their right to say No to participation in this Medicaid expansion.
Medicaid costs are already bankrupting state governments and increasing costs of private insurance. At the same time, Medicaid payments for services rendered are so low that patients have trouble finding physicians and other health providers who will accept them.
It's been estimated that Obamacare's Medicaid provision could cost the states as much as $53 billion over the first ten years, and neither the states nor the federal government has the money to expand Medicaid. Medicaid is already layered with waste and fraud, plus the failure to convince us that it is a cost-effective way to deliver health care.
Obamacare is a massive and costly double-barreled entitlement expansion. Overnight, Obamacare will add 30 million people to the government's entitlement rolls, an overwhelming task even for the Obama administration.
Tell your state legislators to reject their state's health insurance exchange and also to reject an expansion of Medicaid. We simply cannot afford either liberal boondoggle.
The esteemed commentator Thomas Sowell said it best: "It is amazing that people who think we cannot afford to pay for doctors, hospitals, and medication somehow think that we can afford to pay for doctors, hospitals, medication AND a government bureaucracy to administer it." It doesn't make sense.
Phyllis Schlafly is a national leader of the pro-family movement, a nationally syndicated columnist and author of Feminist Fantasies.
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