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The future federal deadline announced their intentions to the Zhou Wuguo Associated Press reporter interviewed the Governor and state officials around the country, in some cases, to find surprising openness. Opposition still exists in other countries, and the answer key outstanding details, there is a widespread urgent desire.
Thursday night, the Obama administration granted a month's extension until December 14. AP examination found that 16 countries are still in the undecided column.
Republicans derided as "Obamacare" law enacted in Washington, but it is in the United States, Americans will find, if it works, will be committed to cover more than 30 million uninsured people.
The country has a part in two major overhauls: for individuals and small businesses to buy private insurance subsidies, and expand to play a major role in the new online insurance markets in the Medicaid program's low-income population.
States must declare whether they will establish a new insurance market, exchange, or let Washington do for them. Countries can also choose to run exchange partnership with the federal government, and they decided until February at the options.
Reluctantly accepted in a changing scene fragment:
- One of the most visible opponents of Obama's reform, the Republican governor of Florida, Rick Scott, now says: "If I can get," I want to go to 'yes'. "
Florida is a leader failed efforts to overthrow the law of the Supreme Court, a group of television ads run by Scott opposition Congress passed. But the governor told The Associated Press this week, he wants to negotiate with the federal government, trying to help the nearly four million uninsured people in his country.
- In Iowa, Republican Gov. Terry Blanchard Amare, he decided to postpone because Washington did not provide enough information about key details. But his spokesman Tim Albrecht said Iowa are exploring cooperation and exchange, which may include several states. Albrecht said that they believe that if needed, they can get the state option.
Ohio, Obama's state, such as Florida and Iowa elections tend to be a collaboration with the federal government, Republican officials continued doubts about the law.
- In Mississippi, Republican Insurance Commissioner Mike Chaney formally notified Washington said Wednesday that his agency will conduct a state-run exchange, disappointing Republican Gov. Phil Bryant, he remains firmly opposed to Obama laws.
Cheney also said that he hoped that the law was abolished, but he was worried, "If you default, the federal government, you will never give up the key to the federal government of the state's health insurance market."
As for trying to fight the FBI and Cheney observed: "We've tried 150 years ago, the South, it does not work."
- In Mexico, the management's Republican governor Susana Martinez has been working quietly to the vortex of the political turmoil of the law. The fifth of the population does not have insurance, the state plans to run its own exchange.
"The party is opposed to the end," the New Mexico Human Services Minister Xi Duoni SQUIER told The Associated Press. "Whether the country does not think they want to do it, I think they will do it, either like it or not, it is a done deal."
Policy experts in Washington have noted changes.
"I think this is a very practical decision, said:" Alan Weil, the non-partisan National Academy of Sciences, the executive director of the national health care policy. "We will have a significant run their own exchanges, a significant number; the federal government is running Exchange and important partnership countries. Bottom line is, we have to figure out how to make the work of all three models."
Despite the public there are still differences of health care law, the idea of ??running the state of the insurance market is popular, especially with the Republican Party and political independence. Recent AP poll found that 63 percent of Americans would prefer the state to run the exchange, 32% favor federal control.
In the failure of the Republican Party is in favor state-controlled and independent countries to take the lead lined 65-2881-17. Democrats are almost evenly divided, and a slight majority favors state control.
The experts say, there are several potential benefits of the state-run exchange.
The biggest advantage is more closely involved in the exchanges between the countries and the coordination of the Medicaid program. Because a lot of people want to come to the back and forth between Medicaid and private insurance exchanges, countries may be better served by a hands-on role.
States also can decide whether to allow open access to all the insurance companies, or only with a group of pre-screened to meet certain requirements.
In addition, the exchange will provide insurance to purchase personal and small business markets, regional, national traditional supervision. If you do not have a state-run exchange, the state can handle its own regulatory body equation, Mississippi Insurance Commissioner Chaney said.
Congress is considering legislation, House Democrats want to have a national exchange, managed by the federal government. However, they lost the centrist Democratic opponent in the Senate, in order to maintain the role of the state, saying national exchanges.
"Sinking ship will be more and more people have been borrowed from the Chinese or the pockets of the taxpayers money is bad policy and bad people of Texas, said:" Gov. Rick Perry's spokesman Catherine Fraser. 27% of the state's residents do not have health insurance, the largest percentage of any country.
Republican state officials complained that the Obama administration did not give them enough information. In fact, several major regulations affect the exchange has not yet been released. However, this does not seem to stop the state, making the early decision. The Republican governor to request an extension of the date of grant (Thursday).
Virginia's Republican-led state vote in favor of Obama was elected to the U.S. Democratic senators on November 6, is in default for Washington. But a spokesman for Gov. Bob McDonnell said, things may change.
Jeff Caldwell said: "This is not a final decision." The fact is that countries still need more information to make a final decision before on behalf of the taxpayers of the State of Virginia."
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