Department of Health and Hospitals Secretary Bruce Greenstein informed
the federal government of rejection of the latter, after Jindal immediately
after the recent reelection of Pres. Barack Obama didn’t
respond to calls from the political left to rethink his position on the former.
Overall, state-run health exchanges don’t
make medical economic sense, and, among other things such as they would
force applying the employer mandate and beggar the private insurance market
while driving up costs to individuals, they would cost states additional money
to run them.
While those costs then would get paid by the federal government, this
means in aggregate there are no savings nationally and some would be passed on
to Louisiana taxpayers. But there is no money appropriated for the federal
government to do that, and every state that opt outs increases those costs,
making it easier for a Republican House of Representatives to ensure that
Obamacare is partially or totally defunded, rendering it unable to operate at
its 2014 target date except for its more popular and sensible mandates. Therefore,
in pursuit of the goal of negating the harmful effects of Obamacare, the more
states that opt out of exchanges, the better.