Survey: States With High Rates of Uninsured Aren’t Obamacare Fans
The Affordable Care Act was designed to make affordable health insurance accessible to most all Americans via a two-part system: the expansion of Medicaid and the creation of insurance exchanges where individuals will be able to comparison-shop for health insurance policies in online marketplaces, using their collective bargaining power to foster competition and drive down prices. Subsidies in the form of tax credits will also make coverage more affordable for the exchange enrollees that qualify.
However, because of both the intrinsic qualities of the United States’ federal system of government and the very partisan reaction the legislation has produced in legislatures, the success of the health care reform depends largely on the state of an individual’s residence.
“We have a long history of relying on private sector markets and resorting to government regulation and provision of services only where markets fail,” wrote Alice M. Rivlin, a senior fellow in the Economic Studies Program at Brookings, to explain the complexities of Obamacare implementation. Plus, “as a big diverse country formed originally by sovereign states, we still fear central government power and rely heavily on the states to formulate and execute domestic policy. Our federal system has great strengths, but it is inherently complicated.”