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If anyone ever doubted that elections have consequences, one only has to be reminded of what John Boehner said last week. “Obamacare is the law of the land,” the House Speaker told ABC News anchor Diane Sawyer, indicating that the Republican caucus will not attempt to repeal the Affordable Care Act (ACA).
With the law’s future so uncertain until President Obama’s re-election on Tuesday, states are now left scrambling to meet key deadlines. By the end of the week states must decide whether or not to create their own insurance exchange (an online marketplace from which individuals and small businesses must purchase coverage) or leave its implementation to the federal government. States may also elect to participate in a partnership exchange with the government. So far 13 states have decided to establish state run exchanges, but only two states, Massachusetts and Utah, currently have a functional exchange.
In light of this reality…
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