Health Care Talk (HCTalk.com)

[Denver Dave]

The Realignment Project
After Health Care Reform – State-Level Single-Payer
http://realignmentproject.wordpress.com/2010/05/08/after-health-care-reform-state-level-single-payer-3/

One of the shortcomings of the Affordable Care Act of 2010 is that instead of one national exchange (as progressives in the House had hoped to establish), we will have 50 state-level exchanges (possibly more if states decide to establish separate individual and group plan exchanges). While there are Federal standards applied to state exchanges (with the ultimate stick being that the Federal government will step in to create their own exchange if the state fails to meet the new standards), the double-edged sword of the bill’s passage means that a lot of political action now moves to the states.