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Exchange PoliticsOpposing Obamacare in Battleground States$
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David K. Jones

Print publication date: 2017

Print ISBN-13: 9780190677237

Published to Oxford Scholarship Online: November 2017

DOI: 10.1093/oso/9780190677237.001.0001

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Exchange Politics and the Future of Health Reform

Exchange Politics and the Future of Health Reform

Chapter:
(p.134) Chapter 6 Exchange Politics and the Future of Health Reform
Source:
Exchange Politics
Author(s):

David K. Jones

Publisher:
Oxford University Press
DOI:10.1093/oso/9780190677237.003.0006

This chapter examines the four key insights from the case study states, looking at the degree to which these lessons apply elsewhere. I ask what the Obama administration should have done differently in its intergovernmental negotiations with states and whether the decision to accept or reject control of an exchange matters. In other words, what are the policy implications of this decision? A Supreme Court case in 2015 would have dramatically raised the stakes of this decision, though the Court’s ruling in favor of the Obama administration ensures that any person with a qualifying income can receive financial assistance to purchase coverage on an exchange—regardless of their state’s decision. I conclude by examining the future of health insurances in particular, and health reform and U.S. federalism more broadly.

Keywords:   health reform, health policy, Affordable Care Act, Obamacare, health insurance exchange, federalism, state politics, governors, Tea Party, interest groups

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