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Secretary of HHS admits doubt that Obamacare "exchanges" will be operational by 2014 and likely at least half the states will not have one implemented. Even worse for taxpayers, the $1 Billion allocated to the program will not be insufficient to cover the costs and may require additional taxpayer support. Imagine that; another failed government program running over budget and not being operational on the scheduled date. 

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Welcome to D4PC "Morning Rounds", your daily review of healthcare news and information from Washington, DC and around the nation. These briefings will keep you up to date on recent developments and our effort to replace the PPACA with patient-centered reforms that protect the doctor-patient relationship and preserve individual freedom of choice. 

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From the Heartland Institute...

Louisiana's Republican Governor, Bobby Jindal, has announced his state will not create a health insurance exchange mandated by the Patient Protection and Accountable Care Act.

Other Republican governors, such as Nathan Deal in Georgia, Susana Martinez in New Mexico, Rick Perry in Texas, and C.L. "Butch" Otter in Idaho, have announced opposition, vetoed bills, or issued executive orders as ways to prevent implementation of a health exchange.

Florida's governor, Rick Scott, also a Republican, has stood adamantly against the exchanges.

Read the full article on Heartland's Health Care News blog. 

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From Reuters...

"Republicans in the U.S. Congress are launching a fresh attack on the healthcare law by targeting grants to states for creating insurance exchanges, just as congressional budget analysts said on Thursday setting up the marketplaces may be delayed...

"The exchange idea is a key component of Obama's healthcare law, which has faced numerous challenges in Congress and the courts since it was passed a year ago..."

Read the full article here. 

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Michael Cannon explains all the deficiencies and negative consequences of the PPACA and why we need to shut it down and replace with alternatives that will protect what works well in the current system while addressing those areas that truly need reform.  Furthermore, he makes the case for state governors to not initiate the groundwork for their state insurance exchange while waiting for a Supreme Court decision since this is exactly what this administration is counting on.  The SCOTUS decision may very well be influenced by how entrenched the roots of Obamacare have taken.  Complying with the HHS Secretary in laying the groundwork for this new bureaucracy will be counterproductive to states who are resisting the new law.  

http://www.cato.org/pub_display.php?pub_id=12858 

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