Obamacare Exchanges: Most States Opt Out

MOST STATES “JUST SAY NO” TO EXCHANGES This week marked the deadline for states to inform the federal government as to their intentions regarding Obamacare’s costly and controversial state health care exchanges. The good news?  Only seventeen states affirmatively moved to set up these government-run “marketplaces” – while twenty-six states…


This week marked the deadline for states to inform the federal government as to their intentions regarding Obamacare’s costly and controversial state health care exchanges.

The good news?  Only seventeen states affirmatively moved to set up these government-run “marketplaces” – while twenty-six states explicitly rejected them.  A small group of states are setting up “hybrid” exchanges while two states – Florida and Utah – simply let the clock expire on the deadline without responding.  South Carolina long ago announced that it would not establish one of these exchanges – which are central components of U.S. President Barack Obama’s socialized medicine law.

(For a great map/ list of which states are in/ out on Obamacare exchanges, click on this page from our friends at NetRightDaily).

“State officials are very smart not to set up their own exchanges since any costs beyond what the Feds offer to help pay is on their taxpayers’ dimes,” writes Wesley Smith, Jr. of National Review Online.

That’s true.  Not only that, their refusal to establish these so-called “marketplaces” makes it extraordinarily difficult – if not impossible – for the federal government to meet its October 1, 2013 deadline to have exchanges up and running in all fifty states.

Michael Cannon of The Cato Institute – one of the nation’s foremost experts on the exchanges – says there is no way Obama’s Department of Health and Human Services will meet this deadline.

“HHS expected to be running zero exchanges,” Cannon told Investors’ Business Daily. “They have been throwing money at states to bribe them to start exchanges.  HHS maintains they’ll have these things up and running by October 2013.  I don’t know anyone who is confident about that and I’m ready to predict that they will not.”

Good …

The next fight?  Blocking the massive and costly Medicaid expansions associated with Obamacare.


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Liberal Trash December 15, 2012 at 10:28 am

Great news!

I mean here in SC we have those great “free enterprisers” at Blue Cross/Blue Shield to look out for us!

They have like what?

80% of the business here in SC

Lots of “competition”

You know Fits?

Come on give us some of that “free market ” stuff we all enjoy!

You know how there is really all this “competition” among health insurers,lower rates,all that STUFF

Thank God for Nikki Haley!


djk754 December 15, 2012 at 8:07 pm

How about everybody working for a bowl of rice a day. You really don’t need much more than that. To each according to his need, from each according to his ability.

Forward, Slaves!

Kathy Gallagher December 15, 2012 at 10:35 am

Sad to see the United States, SO divided. Anyone who needs medical care should be able to get it. There is a price for anything you purchase. When did this become the land of the entitled, instead of the home of the free/brave?

Nancy Kahkola December 15, 2012 at 12:02 pm

NOTHING in life is free!!!!! And now what people THINK is free is going to cost you plenty in taxes and freedom. IGNORANCE and what YOU THINK is ENTITLEMENT is taking away my freedom and OTHERS who believe in our right to choose. All who agree to this atrocity are setting up this country’s demise. Look at Canada, they are now letting newborns with a disability starve to death so as not to spend money. Reprehensible. That will happen here!! Have you read that if any hospital readmits a person in the hospital before thirty days will be fined? You ignorant people will be your own demise and many others. If you happen to reach the age of 55 or older you will not have the right to be treated again if you beat cancer once, because you are too old. Don’ t take my word for it…research it for yourself. Greed, ignorance and entitlements will be your downfall. All those who wanted this BUFFOON in office are going to get what’s coming to you when you or one of your family members will be the recipient of the government’s choice of death, because you are expendable and not worth the money to keep you or a loved one alive. A movie came out almost 40 years ago called “Solvent Green” with Charleton Jesting. If you haven’t seen it, I suggest you rent it. Even that movie does not touch the tip of the iceberg!! It is a prophetic movie. By the way, “ignorance” is not an insult, it’s the lack of knowledge of a subject(s). Educate yourself, before it’s too late.

Joe Wilson Is A Very Smat Man! December 15, 2012 at 2:06 pm

A pack of lies from a Right Wing nut

Take the day off. Rush and Beck will be back on the air Monday ,then you can hear the truth again!

SparkleCity December 16, 2012 at 1:06 pm

My Dear Ms. Kahkola (if indeed that is your REAL name):

The movie you so INCORRECTLY refer to is “SOYLENT GREEN” (not “Solvent” Green starring Charlton HESTON (NOT Charlton “Jesting” – the one & same who played Moses and said: “From my cold dead hands” at a NRA convention.)

“Soylent Green” happens to be one of my favorite flicks and one of the phrases I post on this site from time to time is: “Remember: Tuesday is Soylent Green day” not to mention the one of the most famous lines in American film history which is: “Soylent Green is PEOPLE!!! (which I don’t quote)

For someone who claims to educate onesself your ignorance of the film you are so pittifully attempting to reference is appaling.

Insurance companies are doing a fucking good job right now deciding how much medical attention one gets and covertly deciding who gets to die and who gets to live.

“Soylent Green’ is about a dystopian society in 2020 suffering from the effects of GLOBAL WARMING and overpopulation (two subjects the ultra-right refuse to even acknowledge the possibility of occurring). The priviledged class(that being the type FITS sometimes espouses) have the only comforts we all enjoy today while everyone else lives in squalor and yes depend on the REGIONAL districts – not the FEDERAL government (states rights anyone???) for sustenence. Guess who runs the sustenence programs and provides the rations?? PRIVATE Corporations – THAT’S FUCKING WHO!!!!!

I won’t get into the rest of the movie because I too encourage FITS participants to watch it as well but for different reasons then you so ignorantly reccommend.

Jack Williams January 19, 2013 at 9:27 pm

Very well said Nancy.

Jack Williams January 19, 2013 at 9:32 pm

Interesting stuff Nancy. Keep the info coming.

Adam December 15, 2012 at 11:03 am

Sounds like a business opportunity to provide low cost directoryry/information services to states. I’m surprised no one jumped on this one.

CUvinny December 15, 2012 at 11:10 am

Glad fits is supporting a big gov’t solution to healthcare, the feds couldn’t do worse then the jokes that run of run the exchange in this state.

Charles December 15, 2012 at 11:16 am

I think it’s hilarious that the very people who are so opposed to government “run” heatlh care are setting the stage for the very thing they dislike: universal government run healthcare exchanges. The states that have opted out won’t have any say in how it gets set up at all. Wait till folks in those states find out that what they will be able to get is far better than anything thier own state offers. All that is needed now is higher penalties on employers refusing to offer thier employees insurance, a public option and the ability to negotiate drug prices and we’ll get the rate of medical inflation down to reasonable levels. Before you know it, we’ll have a Canadian style system.

? December 15, 2012 at 3:45 pm

*I think it’s hilarious that the very people who are so opposed to government “run” heatlh care are setting the stage for the very thing they dislike: universal government run healthcare exchanges.*

Well, it kind of makes sense if you think it is going to be a failure(or just really bad).

The mandate for *univeral govt run healtcare exchanges* is already there. It is simply a matter of which entity is going to run it, state or Federal. Better to let those forcing it down everyone^s throat run what will most likely end up being a massive exercise in failure.(the Feds)

It is not like there is a *choice* in having it or not…our masters in DC have already made that decision.

Btw, I have very close relationships with a few Canadian citizens-all of which are not pleased with their healthcare….one is actually a veterinarian medical supply rep. and he actually had to hop up on one of his clients doggie MRIs to get a look at some knee issues he was having because he did not want to wait 6 months for the system to process him…

Canadian health care isnt universally loved by Canadian citizens and they do some medical tourism at times as a result.

Judy chop December 15, 2012 at 8:22 pm

Hey ? I left you a note back at the Anne Hathaway post. Sumpin’ you were wanting…

? December 15, 2012 at 9:23 pm

lol…you are awesome. Hope it^s true. :)

Thanks for the heads up too…I never check the e-mail address I use here for various reasons.

Ernest Spoon December 15, 2012 at 11:22 am

Hey, Sparky, haven’t heard of the Federal Employees Health Benefits Plan, have ya? It’s basically an “insurance exchange.” All the feds have to do is open enrollment for everybody in the country. lmao

Smirks December 15, 2012 at 11:33 am

Thank goodness Republicans introduced their own plan that is even better than exchanges and expanding Medicaid! For those of you who don’t know:

Step 1: Stop provisions that will increase affordability and/or access to health coverage.

Step 2:

Redundant Tiger December 16, 2012 at 6:24 am

Three yeara ago, Lindsey Graham wanted to scrap the Affordable Care Act and start over with a “blank sheet of paper”. We’re still waiting , GOPpers.
Also, any State can opt out of the ACA if they can present a plan that will be more cost effective than the Federal plan. I understand that Vermont has already developed, passed, and is now implementing a Single Payer system.
Republicans have become the Party of No Ideas. Like a gaggle of sidewalk superintendants, they can critique, but they can’f do.

Thinking December 15, 2012 at 11:36 am

Great “unbiased” news “reporting”! Sarcasm dripping.

Lynn December 15, 2012 at 11:40 am

When Medicaid/Medicare was introduced in the mid1960s approximately the same number of states initially signed up to participate in Medicaid. SC did sign on for about four years, in 1969/70. So not surprising to see states’ reluctance to sign on for “change.”

The last two hospitals in SC to fully participate in MEDICARE the health insurance program for the elderly were Roper Hospital in Charleston owned by the Medical Society of SC and SC Baptist Hospital in Columbia owned then by the SC Baptist Convention. They finally signed up in 1979/80. We are a state that does appreciate irony.

Buddy December 15, 2012 at 11:43 am

Free enterprise, or something else? I paid into this insurance company for years. Then I had a problem with just one eye. The problem was due to an error by a doctor or his staff. So my insurance company paid for the test and treatment but increased my premiums until they were very very high. Then they recruited a sales agent to come in with a new company with sensible premiums. Then just as the switch was taking place, the new company let us know they were excluding both my eyes. I am not sure what the solution is. However, the insurance companies are to blame for much of this. They are probably the reason Obama won the first time and the second time. They are a big part of the reason the Democrats got total control of the US House and Senate to pass the health care law. These companies should have just been replaced by a government program. We put a man on the moon, have the best military, a good interstate road system, etc. I know the government normally messes up stuff, but how can the government be any worse than the health care insurance companies I have dealt with?

RAS December 16, 2012 at 6:33 pm

Buddy, don’t confuse these cornballs. Government is the enemy.

For-profit insurance companies are friends. They always make decisions in the best interest of the insured. They never drop anyone no matter how long you have beeen paying premiums and they never increase their premiums after you have a claim. Never tell you which doctor you can or cannot go to. Never dictate to a doctor or a hospital what treatment is allowed.

These rubes are hellbent on working against their own self-interest. They have sipped the koolaid and they like it.

BigT December 15, 2012 at 12:36 pm

Republicans will be JUDGED on Opposition to ANYTHING Obama….

Obama should have come out on Nov. 7 and told us how he’d get our HJOBS back…and if he had to suspend ObamaCare, he would…

Instead all he has done is worked to trar down any hope for Repair of the mess he made…

How could we elected such a hateful Selfish President…

He hates half the country (the half that contributes) and sickeningly panders to the Takers……and I find that Repulsive…

Liberal Scum December 15, 2012 at 2:36 pm

Will you just kill yourself already?

Saluda Rapids December 15, 2012 at 3:42 pm

I find your spelling and grammar to be repulsive. Someone should kick your teachers in the ass.

9" December 15, 2012 at 2:10 pm

Current healthcare policy is best:DON’T GET SICK!

BigT December 15, 2012 at 2:44 pm

Liberals make excuses for Heinous acts, from abortion to mass murderers.

Liberals blame race, sexism, class or any other of their devices they use to make one American Hate another…

These Murders have Obama and his FILTHY liberal Ilk written all over them…

We have gone more liberal year after year (2012 is the WORST)…and it just gets worse…

You can sit around w/ your Head up your @$$#$ while the left pollutes everything it touches…

When we’re an all out Genocide society, I guess the Leftwing Nutjob Lunatics will be Thrilled…

Buy your guns now to protect yourselves… Obama will take the side of the Murderers over the good…because the murderers vote for his Elitist un-earned Lifestyle that WE pay for…

Corruption loves the corrupt…

Liberal Scum December 15, 2012 at 3:55 pm

Get help, bro.

BitchT's English Teacher December 15, 2012 at 4:20 pm

Scum, I really did my best. Oh, you’re talking about psychological help.

BigT December 15, 2012 at 6:07 pm

You people usually respond to me w/ Insults only…

I use TRUTH, and that Cuts you off in the N*ts…

You are weak and Stupid…it’s why you so often have nothing but B*!!$#!T attacks to defend your sorry @$$#$…

Children are dying, and we have a Government that has FAILED miserably to prosecute Murderers…and you, as typical, start Running your [email protected]$$ $#!t about gun Control…

You are so F*&kin lame, and I don’t really care about the Dull…but you are Costing the lives of children in your IGNORANCE….

We need to SALP the $#!* out of you…it’s gone on too long, and you seem to just be getting more Stupid (and Failed) by the day…

Torch December 15, 2012 at 6:21 pm

@ Liberal. He can’t get help. Regan closed all the govenment mental hospitals.

Marcus Welby December 15, 2012 at 4:22 pm

The fact that some Canadians you know don’t like their health system isn’t really indicative of anything.Polls show most Americans dont like their present system.The whole issue is what to replace it with?The problem for opponents of Obamas program ?What is their alternative?Just mouthing off some platitudes about the market etc etc as Republicans are want to do isn’t an alternative.Thus,we have Obamacare.How will it work?I don’t know,but I do know that,as usual,the Republicans with their patented,no no no,blew it again.

Cliff Judy Sucks It December 15, 2012 at 4:32 pm


BigT December 15, 2012 at 6:10 pm

Remember when Obama said Trayvon’s life mattered because he would have looked like Obama’s son if Obama had one…

Wonder if that’s why he’s soft on Murder if it’s not his kind???


Isotope Soap December 15, 2012 at 6:57 pm

I see Biggie’s all worked up again.

Those who commit mass murder are either dead or locked up. Whether or not they get executed or not is up to the states mainly. The United States federal government (in comparison to the separate states) applies the death penalty for certain crimes: treason, espionage, and federal murder.

So, would you please shut the fuck up and let people mourn this horrific crime without your right wing bullshit?

ConfederateLiberal December 15, 2012 at 6:21 pm

Don’t I remember reading that Sarah Palin liked the Canadian Health Care system so much they would cross the border to see a doctor?

Isotope Soap December 15, 2012 at 6:39 pm

Lol! Yes, the bitch sure did!

Redundant Tiger December 16, 2012 at 6:10 am

Not to mention that Sarah’s kids have lifetime healthcare coverage through the government run (gasp!)and taxpayer funded Indian Health Care System because of Todd’s lineage.

glenn buchanan December 15, 2012 at 6:35 pm

4 more years,get over the hate and work whit obama.the dems r going to run the U.S.A. For years to come,because there r more poor than rich.

BigT December 15, 2012 at 7:10 pm

Resist, Resist Resist ObamaCare…Kick the can down the road…like Haley’s doing…

If we can get to 2014, We can get the Senate… I doubt the illegals and Race-Haters will come out in droves…

If the GOP can get the Senate and House…then STALL, STALL, STALL…

The democrats, the party of Hate, will have to run a Black candidate in 2016…or the Cheaters will not vote…

Also: The GOP may finally put a Southern Conservative on the ballot…instead of a moderate, like the last two that lost…

Isotope Soap December 15, 2012 at 7:42 pm

Whatever, T. Notice both Todd Akin and Richard Mourdock have lost their jobs? Hint: It wasn’t due to “illegals” and “race haters” (lol).

BigT December 16, 2012 at 6:55 am

You have a lot of RACE Haters and Illegals coming out to vote for their opponent….

That said: We don’t even need those 2 to get back the Senate, they are not on the ballot anyway…

The Senate is one of the most FAILED under Harry Reid in the history of America…Hopefully the people will be able to figure that out by 2016…

Not to mention the National media is a lot less effective w/ its message of Hate in off-year elections…it’s why Good (Conservative) Candidates can do better…

Let’s pray they do…

Isotope Soap December 16, 2012 at 11:43 am

Again…whatever, T.

Secession Sally December 15, 2012 at 8:16 pm

Is it still to late to opt out of the Union all together?

ConfederateLiberal December 16, 2012 at 9:44 am

Please remember the words of Mr. Pettigru who on the occasion of the last unpleasantness was quoted as saying, “alas poor South Carolina, too small to be a nation, too large to be an insane asylum.” Some things never change.

Chris Memminger December 15, 2012 at 10:34 pm

We dont like the feds, so we are going to let the feds run our program. Take that feds! Oh by the way, whats going to happen? Please protect and fund our well being.


South Carolina

BigT December 16, 2012 at 6:59 am

If you’re White and Southern…Obama does not give a $#!t for your well-being you brain dead Idiot…

Not to mention: even the lazy. thugs pieces of $#!* he does hand-out to, get MY tax dollars..It damn sure ain’t [email protected]$$, golf-playing Obama’s money…

Remember: Obama only thinks your life matters if you could look like “HIS: son…(see Trayvon Martin)…

He hates a “TYPICAL White Woman” unless he can use her story to Expolit the [email protected]$$#$…

SparkleCity December 16, 2012 at 2:06 pm

Mr. Pettigru was spot on……..

We need to encourage more folks from other areas of the country to move to South Carolina (not JUST the coast) to improve the gene pool.

I’m all for merging the North Carolina and South Carolina into the state of “Carolina” and making the new capitol Charlotte.

Honestly, I’m about 5 years from retiring and it’s up in the air if I will reside here after retiring

But then again, the more I could suck off the teat of the state South Carolina might just be the irony I would enjoy………

Then again by 2018 they could be eating senior citizens in this state…………

Remember: “Tuesday is Soylent Green day”!!!!

ConfederateLiberal December 16, 2012 at 9:40 am

The best way to consider the incoherent ramblings of the troll Big T is to remember the words of the immortal bard who wrote “tis a tale told by an idiot, full of sound and fury, signifying nothing.”

Thebeachisback December 16, 2012 at 10:33 am

Awesome retort!

Isotope Soap December 16, 2012 at 11:52 am

Amen. As long as he stays in his mother’s basement, I doubt the feds need to be alerted.

BigT December 16, 2012 at 12:10 pm

Liberals are rarely told the Truth about what, and who, they are…So you see they just attack the analysis when they are accurately defined…

You really cannot dipute what I say about you…

And when you ignore the Truth, and never try to become enlightened, there is no room for your growth…

You are silly and ignorant people..destined to remain close-minded and failed…

And America Suffers tremendously because your king Idiot is in power…

SparkleCity December 16, 2012 at 1:12 pm


My retort to “Nancy Kahkola”

Dated 15 Dec at 1202 hrs.

BigT December 16, 2012 at 1:51 pm

I find your overt responses trite and shrill…

Doubt seriously any covert retort would be woth the trouble…

You Liberals just keep repeating the same old falure-based answers…and the country just keeps sinking deeper and deeper…

That’s the only message that needs to be heard…

SparkleCity December 16, 2012 at 2:11 pm

Thanks for reading it anyway!!!!

You’ve got to admit I corrected Ms. Kahkola on her sorry attempt to reference “Soylent Green”!!!

Something tells me “Nancy” is a desciple of yours…………

Bobby_F December 16, 2012 at 2:35 pm

For clarification, in case there is any confusion, NOT running a State Based Exchange does not in any way mean that people in this state cannot and will not participate in Obamacare (ACA). Some of the above comments seem to suggest that we as a state opted out of Obamacare. All this means is that South Carolina declared that the citizens of the state will access health care offerings via a Federally Facilitated Exchange – which should, theoretically, provide even more options than a state based exchange.

This comment is not intended to be in favor of or against ACA – just trying to clarify SBE v. FFE.

SparkleCity December 16, 2012 at 11:30 pm


Tuesday is Soylent Green day!!!!!

Nancy Kahkola January 19, 2013 at 10:55 pm

Okay…so I spelled it wrong, but Sparklecity…maybe someone with a “LOG” in their eye should not be judging anyone about spelling. You know anyone who spells “sustenance” as “sustenence” more than once is not a spelling champion. And I do this with my cell phone and most people know it can jump if you aren’t careful. I know his name is Charlton Heston. If you were so smart, you would know I was making an analogy about government deciding when a person dies. So sad you are an example of ignorance in words, sense you seem to fail to find intelligent words instead of vulgarity.

Nancy Kahkola January 19, 2013 at 11:04 pm

You did not correct me, except for solyent. I can take real critisism, but yours is more about what you think is superiority to me and others. Definitely, an Obama complex.

Nancy Kahkola January 19, 2013 at 11:06 pm

BigT, you are so right.

Nancy Kahkola January 19, 2013 at 11:09 pm

BTW….sparklecity….that IS my real name. I am not ashamed of what I have to say. Obviously, you ARE!

The Federal Farmer February 18, 2013 at 4:36 pm

where’s the fucking list?

The Federal Farmer February 18, 2013 at 3:36 pm

where’s the fucking list?

Kevin Blankenship August 17, 2013 at 11:24 pm

These stories use the word list but post no list!!!!

Kevin Blankenship August 17, 2013 at 11:24 pm

These stories use the word list but post no list!!!!

smmcmahon September 3, 2013 at 3:00 pm

Wrong folks, they have no other black candidate in the wings< however, they will run a female (shall we rename the Democratic Party the party of non-relevant quals)?


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