Affordable Care Act

Just finished visiting the health care exchange website.  I set up my access to the website and did all the stuff necessary to sign up for insurance. I currently have insurance but it is something I pay for myself and if you can save some money these days on stuff I'm not above doing some research and seeing what the options are.

The website is more complicated to navigate than others.  I appreciate the need for security and the complexity of determining eligibility and using data from other sources to help determine eligibility is bound to have some bugs that need to be worked out.

The biggest issue that is going to be fought out as this goes forward is that there are going to be fifty plus versions of the Affordable Care Act because it is state based.

Some states are going to support the efforts to provide good quality health care at an affordable price and others are going to start, stumble, fart, and fall and hopefully get up along the way.

States that decide not to expand eligibility for Medicaid are missing an opportunity to provide care for a lot of the uninsured who get their care in the emergency rooms across the country.  Some folks think this ok.  Somebody else is paying for their coverage or they don't think they will ever have the need for health care and the Medicare tax will cover them when they get old and feeble.

The Florida Legislature has decided against expanding Medicaid.  There are lots of poor folks in Florida and sadly the health care of the poor and the insured will be suffering in the state.  This will be a missed opportunity.  The race to the bottom, low pay, crappy education, and poor health care is hardly progress, but as long as it is better than Mississippi, Alabama, and Arkansas I don't think it will be the issue it might be.   

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