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What happens if states opt out of Medicaid expansion?

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    Assessing potential political impact

  • Duration 4:31
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Now so what happens if several states like Texas decide to opt out of the Medicaid expansion is it a political problem.

Get some answers to that now from former Howard Dean campaign manager and Fox News contributor Joseph Trippi Joseph you know there were 26 states.

That sued to block the implementation of elements of Obama care.

Now the Supreme Court has said this thing is legal but.

Big state governors like Rick stick Rick Scott in Florida and you just heard the governor of Texas there saying they don't want any part of what.

The federal government wants to force upon.

-- it it's it's it is politics but it's also good at that they're bunch of things going on here this great politics.

For Rick Perry.

In Texas he gets a look like he's standing up to the big bad Washington government in the Obama administration in the same.

Is that a lot of these governor's -- to do that but it doesn't address that the problem.

House and senate voted for this bill the president signed it in the Supreme Court says its constitutional so that that the other politics going on here.

Is a problem for Romney I think because it says.

John it.

Republicans may be still obstructing the Bill Self destructing the lie and tell and that's creates this -- -- the right you saw what happened in the 2010 elections -- I mean that house changed parties in large part because a lot of folks didn't like what the congress had done back in 2009.

Don't know and that's exactly right and I think a lot of people.

On the GOP side running for the house and the senate wanna -- We want to replay that card.

And -- I think Rick Perry is it this move helps that.

On the other hand it doesn't look like Romney wants to replay -- -- it made it doesn't help him because right now people -- somebody's gonna pull the country together not -- in in just -- move past this thinking and being implemented not obstructed what and Republicans are starting to look like obstructionists on this I think well so the federal government is holding out this can be saying here's states were gonna pay for all of your Medicaid needs until 20/20.

And -- that we're gonna pay for 90%.

Now the sounds great.

But we all know what the budget situation is in this country who's to say that in 2020 doesn't become 75%.

Or 60% or 50%.

Well but by opting out and saying we're not playing in letting the federal government come in and set up the exchanges.

Rick Perry's.

Letting happen exactly what he doesn't wanna have happen he's letting the government the federal government have more control over health care in his state so that -- more impact on it.

So so what a lot of this is about the politics.

Can I -- cannot see and we hope I mean there's a public not a definitely be a hope on Rick Perry's part that Romney becomes president.

So that it's dismantled in the house and the senate -- me dismantles the health care bill in the end.

He was right by not starting these exchanges and the and the federal government never gets to do it but what -- why he's wrong about that that's route there's a one point eight million people in Texas who do not get expanded health care coverage.

Unless this exchanges are these exchanges or created in as we saw.

That states ranked at the bottom of of the country right now on health care why -- why not why not let.

-- Governor Perry have his way why not block grant that money to the states don't they know better than Washington how to spend my money on their citizens.

Well I think.

We'll look at me that's not what that was that the solution that got passed by the senate and the house and was assigned by the president and the Supreme Court -- that of that rule the road that -- that system that.

That obamacare would not pass today right now in the US congress you know that.

But I don't know I -- -- -- and I don't think there's anybody who who it think that it would passes.

Put.

-- -- -- -- Frankly because the 2010 election on its own just this year in the house that happened so no there's no way -- with -- passed now.

The problem is it's the water -- for Rick Perry in these governor's it's the law of the land.

And deciding that you're not -- hearsay -- saying nation is a mistake should they should -- live with a law that they don't like him a lot of voters don't like well that's the -- that's the way.

Democracy works there's a lot of laws that that I don't wiper that you don't like we we all live by them because they're all the land -- to change the law or or implement Joseph -- always good to get your perspective thank you thank --

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