When the Affordable Care Act became law, 36 states declined to create their own health exchanges and relied on the federal exchange. The argument that the U.S. Supreme Court has agreed to hear in March is that federal subsidies can only be given to exchanges “established by the State.” According to opponents, that’s the language that determines the legality of the Affordable Care Act. If the Supreme Court agrees with that challenge, ACA will collapse because the economics of the plan relies on 50 states contributing to the insurance pool. The language of the current law could exclude the 36 states using the federal exchange from receiving subsidies. With only 12 states contributing, ACA becomes UACA – Unaffordable Care Act. I’m E. Curtis Johnson. Until March, if you’re one of the seven million people who like their federally subsidized ACA insurance, you can keep your insurance. Maybe we’ll reach a point where medical professionals in white lab coats take care of our medical needs. For now, we await the decision of nine people in black robes.


 

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