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Walker may reject $4 billion Obamacare funds

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Re: Walker may reject $4 billion Obamacare funds

Postby ilikebeans » Fri Nov 09, 2012 12:46 pm

Henry Vilas wrote:Florida just said no.

Ah yes, the party of law and order.
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Re: Walker may reject $4 billion Obamacare funds

Postby fisticuffs » Fri Nov 09, 2012 1:23 pm

If there's anyone who should be going out on a limb and ignoring Federal laws on Health Care it's Rick Scott. It's what he does best.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Fri Nov 09, 2012 3:15 pm

You have to admire the feistiness of Rick Scott.

Image

The Republican governors are hoping to rewrite Obamacare in several ways during fiscal cliff negotiations, holding the potential medicaid recipients in their states as hostages. In particular, they want to limit the number of people who receive subsidies on exchanges, onstensibly to control costs, but really to lesson its political acceptance. I can't believe the Dems will submit to blackmail by the Scott Walker cabal and water-down their hard-won Obamacare victory.
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Re: Walker may reject $4 billion Obamacare funds

Postby Henry Vilas » Sun Nov 11, 2012 6:04 pm

Walker has until Friday to come up with a plan or the feds take over.

Groups want Walker to have state run exchange

An array of interests including business groups and liberal health care advocates are united in pressuring Gov. Scott Walker to create a state-run exchange under the federal health care law.

Walker faces a Friday deadline to tell President Barack Obama's administration what he intends to do.
...
Those with an interest in the process contacted by The Associated Press said they have not been involved with Walker's administration on coming up with a plan.
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Re: Walker may reject $4 billion Obamacare funds

Postby snoqueen » Sun Nov 11, 2012 6:30 pm

Now we can sit back and watch Walker set up a state-run, non-fed assisted health care exchange which works about as well as his Wisconsin Economic Development Corporation worked.

If he doesn't purposely sabotage the project out of sheer spite, he'll find a way to fill it with incompetent appointees and hand out money to all his donors before anybody can stop him. It's not like his history suggests otherwise.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Sun Nov 11, 2012 6:41 pm

http://host.madison.com/news/local/heal ... z2Bxb4neaz
The Wisconsin Hospital Association, Wisconsin Manufacturers and Commerce and both of the state's health insurance associations support a state-run exchange.

"Wisconsin is better served by an exchange that is fashioned specifically for Wisconsin," said Phil Dougherty, senior executive officer of the Wisconsin Association of Health Plans.

In some states, Dougherty said, two or three insurance companies cover 80 percent of the private market. In Wisconsin, 18 companies do.

A state-run exchange would help maintain that competitive market, he said.

Al Wearing, marketing director for Group Health Cooperative of south-central Wisconsin, said a federal-run exchange might allow only statewide carriers to participate.

"In a state like Wisconsin, with lots of regional carriers, that could be very problematic for all of us," Wearing said.


It just stands to reason that a state is going to do a better job of managing the health care market, the Feds don't have the local insights.

But the right wingers are loaded for bear, they are going to do anything and everything to foul-up the works. Check out this "we will fight them on the beaches" call-to-arms from Cato Institute:
Obamacare Is Still Vulnerable, Now is not the time to go wobbly

The right is going to lose in the end, but the war is not over.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Sun Nov 11, 2012 6:48 pm

snoqueen wrote:Now we can sit back and watch Walker set up a state-run, non-fed assisted health care exchange which works about as well as his Wisconsin Economic Development Corporation worked.

If he doesn't purposely sabotage the project out of sheer spite, he'll find a way to fill it with incompetent appointees and hand out money to all his donors before anybody can stop him. It's not like his history suggests otherwise.


Ya, this sounds about right.

There are three ways to run the exchanges: fed, state, fed-state partnership. I guess at this stage, the sensible approach for ALL states might be to go with the partnership. The Obama administration is requiring states who want to go-it-alone to submit their detailed blueprints quickly, while they are giving two extra months to create a plan for a fed-state partnerships. I suspect this is their way to prevent the Scott Walker's of the world from throwing-together a slap-dash proposal and seizing the reigns.

This is an ugly little chess match. But I think Obama has the better moves, can't come up with good metaphor cause I don't play chess.
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Re: Walker may reject $4 billion Obamacare funds

Postby Henry Vilas » Tue Nov 13, 2012 12:52 pm

Democrats ask Walker for health care exchange

Walker's got three more days to make up his mind.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Tue Nov 13, 2012 1:08 pm

http://www.washingtonpost.com/blogs/won ... istration/

Interesting article on how complex these exchanges are going to be to build. You really need the states to be heavily involved to make them work well. The Feds will be overwhelmed trying to fashion exchanges for 30 recalcitrant states, although at least they are developing expertise that the states may lack.

Trying to get these exchanges built in just a year is daunting, perhaps unrealistic, according to article. Seems the only way to make this work will be Federal-State partnership model.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Tue Nov 13, 2012 1:12 pm

Henry Vilas wrote:Democrats ask Walker for health care exchange

Walker's got three more days to make up his mind.


I'll be pleasantly surprised if Walker does anything but punt to the Feds.

But he's in a dangerous box as far as his political career is concerned, this is not like canceling the train where only part of the state was hurt.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Tue Nov 13, 2012 7:59 pm

http://www.jsonline.com/news/statepolit ... 80251.html

Nine WI legislatures have called for the arrest of any Federal official who comes to WI to implement Obamacare. Something about the 10th amendment and nullification.

You can't make this stuff up.
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Re: Walker may reject $4 billion Obamacare funds

Postby Henry Vilas » Tue Nov 13, 2012 9:23 pm

Huckleby wrote:http://www.jsonline.com/news/statepolitics/nine-lawmakers-back-charging-federal-officials-who-implement-obamacare-here-n47kl10-179180251.html

Nine WI legislatures have called for the arrest of any Federal official who comes to WI to implement Obamacare. Something about the 10th amendment and nullification.

You can't make this stuff up.

I guess they have never heard of the Supremacy Clause in the U.S. Constitution.
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Re: Walker may reject $4 billion Obamacare funds

Postby Detritus » Tue Nov 13, 2012 10:07 pm

Henry Vilas wrote:
Huckleby wrote:http://www.jsonline.com/news/statepolitics/nine-lawmakers-back-charging-federal-officials-who-implement-obamacare-here-n47kl10-179180251.html

Nine WI legislatures have called for the arrest of any Federal official who comes to WI to implement Obamacare. Something about the 10th amendment and nullification.

You can't make this stuff up.

I guess they have never heard of the Supremacy Clause in the U.S. Constitution.

I was going to say I guess they never heard what happened to the last group in Wisconsin who claimed the right of nullification.
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Re: Walker may reject $4 billion Obamacare funds

Postby Huckleby » Wed Nov 14, 2012 10:34 am

Rick Scott Signals Willingness To Negotiate On Health Care Law

Rick Scott and similar Republican governors have entered third stage of grief:
denial, anger, bargaining, depression, acceptance

Getting Obamacare passed was the mother of all painful struggles, requiring three bruising national elections and a Supreme Court squeeker. Why in Sam Hades would democrats now agree to bargain away coverage to millions of people by restricting medicaid eligibility or reducing subsidies?
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Re: Walker may reject $4 billion Obamacare funds

Postby wack wack » Wed Nov 14, 2012 10:52 am

Huckleby wrote:http://www.jsonline.com/news/statepolitics/nine-lawmakers-back-charging-federal-officials-who-implement-obamacare-here-n47kl10-179180251.html

Nine WI legislatures have called for the arrest of any Federal official who comes to WI to implement Obamacare. Something about the 10th amendment and nullification.

You can't make this stuff up.


Sounds like the Feds need to send officers to arrest nine Wisconsin lawmakers for sedition.
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