Posted by AzBlueMeanie:
Gov. Jan Brewer has to make a decision, due Friday, that will determine whether Arizona
creates a state-run, online marketplace for consumers to use when
choosing health insurance plans, or lets the federal government create and run a health insurance “exchange” for the state.
The Arizona Capitol Times (subscription required) reports Big decision looms for Arizona governor on exchange:
Brewer is among the Republican governors who opposed the law, but she has yet to indicate what course she’ll take.
“I have not made up my mind at this point in time, but I believe that
very soon I will have to determine just exactly what directly we’re
going to go. It’s a very expansive piece of legislation that has great,
huge impacts on the people of Arizona and on America. So we have to be
very cautious and do it carefully. And of course, I believe a lot in
states’ rights, and I think that we have to take everything into
consideration to make the right decision,” Brewer said on Tuesday.
Down the road, Brewer will face an equally hot-potato decision on
whether to expand the state’s Medicaid program — another key aspect of
the health care law.
Brewer’s administration has spent millions of dollars of federal
grant money on planning and preliminary work for creating a health
exchange.
Republican legislators and conservatives such as the Goldwater
Institute say the requirement for an exchange is an infringement on the
rights of states and individuals.
* * *
Meanwhile, a coalition of business groups
wants Brewer to create a state exchange so Arizona has a say in in its
design and funding.
“If we retain that control, we’re better able to customize and tweak
and make adjustments,” said Pete Wertheim, a vice president of the
Arizona Hospital and Healthcare Association.
Brewer already has selected a minimum benefits package for a
state-run exchange based on current insurance coverage for state
employees. She noted in a Sept. 28 letter to the Obama administration
that the package excludes abortion coverage.
Brewer has said her administration has done a lot of planning to be
prepared but also indicated she was still studying the issue and hadn’t
made a decision.
“I’ve got to decide (whether) it’s the right thing for Arizona,” Brewer said while noting she will need legislative approval.
It’s clear that establishing a state-run
exchange would put Brewer at odds with many Republicans in the
Legislature, with no assurance that she would win the necessary
approval.
Listen up, you "states' rights" Tenthers. You have two choices. Either Arizona sets up a health insurance exchange that it runs and controls. Or the federal government will set up the health insurance exchange and run it for us. There is no third choice, kicking and screaming throwing a temper tantrum, while yelling "No, you can't make me do it! I hate ObamaCare! States' rights! Secession!" You lost. Get over it.
