Half of US states say no to health insurance exchanges
How will ObamaCare now be implemented?
- Duration 8:16
- Date Dec 18, 2012
How will ObamaCare now be implemented?
Also in this playlist...
This transcript is automatically generated
New fallout from the president's health care overhaul which was based on a critical network of state run exchanges.
That's the online site.
That would help you choose the plan that you want somebody has to set that up and somebody has to go through it -- it is to see which you put on there how old you are what your medical.
Medical background is -- figure out what plan you might it be available for.
And how much it would cost to all that takes no bodies and resources and -- And the State's -- to do it.
But now the majority of states are saying they're not gonna do it.
-- at a minimum they want -- partner with the federal government to do with so there's a whole lot more work here for Uncle Sam than they ever anticipated when they passed this bill.
And when they funded this bill.
Where does that leave us today.
Leslie Marshall as a syndicated radio talk show host -- -- Fox News contributor.
And Lars Larson is a syndicated -- host with compass media networks.
So it's confusing but you know the feds are the ones saying we're gonna subsidize health insurance for the people can afford it.
But the states have to set up I said -- -- -- silicon orbits you know where you do you just go online Santa may have made -- New York how old are you and you can look it up and I think that.
You know medical background race they ask you sort -- all year you know background things you plug in your information is somebody has to be on the -- separates -- -- as a -- the online thing.
And then be on the receiving -- to to process the info such that they can return back you are you qualified for the the gold plan.
At this rate this is with them on a subsidy would get here they go about getting it.
Well what's when he -- five states have defaulted to the -- entirely on this and another seven say well we want.
Ed Ed that a minimum partner with the -- So and I get 32 states who are saying the federal government's going to be entirely or at least partially responsible for doing and they didn't play not that when they -- -- Leslie.
So pay for that how did -- get this done.
Well I think the money is already there actually Nagin and what I hear is job creation whether it's on the state level or federal -- that -- -- very.
I don't have a -- -- that there weren't there were reports early on -- they weren't they weren't talking now about sort of robbing Peter to pay Paul like taking it out of a different budget.
The -- and then using that money -- -- it could be you know.
A billion plus.
That using that money to set these up.
But the money that they did plan on was money that they would appropriate to each state.
And I'm assuming here now okay this is clearly an assumption.
That they would not be appropriating as much to a state that's gonna say the federal government has to handle the -- up.
Of that orbits.
Health care orbits.
It entirely what I'm also hearing are people that sat on the right like my buddy -- and you're gonna hear from -- and then and I can't wait.
You what what what I hear is.
You know we want -- federal government.
No but you guys handle this we watt power to go to the states in the states say we can't handle -- come line.
Well I mean that this dates weren't the ones who passed obamacare and Ellis leaving the state though this was a federal -- -- -- were told that has died at fed you're doing it.
But we do regular -- a Mitt Romney a guy -- at Romney Lars that said the reason it worked to Massachusetts and the reason when he was and got it -- governor he signed top lot and -- -- it.
It's because it was a state.
One program this is at least a portion of the power in the implementation given to the various states -- left.
Megan this thing has been a disaster it was a disaster is Romney care in Massachusetts but you -- on one of the answers.
If orbits had set this up if private industry had done it.
Or quote Smith -- -- where you can compare insurance.
And do it apples to apples it would have been done better they never would have set up a separate orbits for every state in America that's the way the federal government does things and the fact is an awful lot of Americans and as you point out the majority of American states oppose this plan.
-- -- That the exchanges -- a little ridiculous because they're only gonna deal with people who obtain their health insurance not from the government so not Medicaid not Medicare and not from their employer.
Which is the majority of the rest of the people not covered by Medicaid Medicare.
Those people have to -- -- individually we'll go to these exchanges except in most exchanges you can buy the expensive airline ticket or you can buy the first class the inexpensive airline ticket.
This isn't gonna give you that choice because -- obamacare mandates that the minimum plan is actually already a Cadillac plan so how much choice you're gonna have when the federal government says this is the least you can offer which is you know everything.
Everything into the plan -- All of that speaks to a doesn't do -- -- -- -- whether Obama cares that are better -- that are inadequate -- that ship has sailed.
In the law passed so now this is a question of whether this is gonna be adequately implemented whether it can't adequately -- you know at abided by the feds.
When they were not planning to be I like that what you said health care orbits they were not planning to run health care or because they were planning to to -- Well but her state make -- right to -- because they were funding it.
They were funding it and let me point something else out.
And -- is different than -- eleven -- to set up the website and do the processing and say okay.
This age this kind of a smoker this kind of an alcohol and take this kind of a -- history mean.
That that takes all and -- sources that has but -- -- -- It would have Megan there was already something for other kinds of insurance called quote Smith where you -- go and find quotes on other kinds of insurance if private industry had done this we would have seen competition.
And I don't mean just in the kind of plan offered.
You would have seen the private -- -- to -- -- they have with Craig's list they have with eBay they have what orbits and travelocity and all those other things that offer other kinds of products that are a complicated.
Be expensive and where people want choices between do I want the first class ticket -- I want the cheap hotel.
And those kinds of things could have been done by private industry but there's another wrinkle that only in Albany law gradual would be able to figure out Megan and that is in the federal law it provided that if you go to a state exchange.
And you need that subsidy from the federal government to help you buy your insurance.
The law allows for a check to be cut.
If it's through the federal exchange the law appears to have a flaw in it that does not allow the federal government to cut checks now again it's a legal technicality and they may ring they may iron it out but that's a real problem -- -- generate some state.
Another challenge unfolding along those lines as well there has to do with whether they they can tax -- -- highest -- it.
Pay a penalty if you don't insure your employees.
These other corporations that they have more than fifty employees they have to pay tax penalty if they don't assure them.
And now there's another legal challenge that's bubbling up about whether that provision of the law can be sustained.
If the exchanges are run by the feds vs the states I wanna get that the -- -- -- your head will explode.
But it's this wrinkle has opened up a whole new possible challenge to the core of the law.
But that did the question I have for today's where they gonna get the money Leslie where they gonna get that extra money and and you know is is there is that cost of this law.
Ballooning in a way that was not anticipated at least by some.
I don't believe so -- -- for several reasons one.
As again I do you feel that the money that would be appropriated let's say you know here in California and we say hey you guys handle it we'll -- gonna give us the money.
For that because we're not going to be handling that's why don't I don't see the issue with finances and lies to your point about the insurance companies.
You know all the big CEO's that at nine blue cross six battery you weren't gonna mention hobbies the doctor so I will.
I can tell you -- -- then have the power before this was passed and they still have the power.
So lowered their break so it amuses -- when they sit there and -- there obamacare is going to increase rates that they have a 100%.
Sitting at the Megan in the -- private companies.
-- -- -- Actuaries tell you what those policies have to cost the marketplace and the real cost of doing it and the fact is is that you're gonna see an awful lot of state did you use a little actuaries and a program makes sense they actually got here you don't have any act of all there's -- actuaries don't ever did I think you -- so much.