Obamacare Federalism

For 86% of Americans, health care as they know it will not be changed. The Affordable Care Act, arguably President Obama’s largest achievement in office, has faced much backfire, both with lack of support, as well as raised issues of Constitutionality. This being said, Obamacare has been implemented and now has goals to be fully functional by the year 2016. Many Americans did not know how this change in national health care effects them, which is why many people are against it, simply because they don’t like change, and they don’t like not knowing what to expect. With Obamacare though, the majority, 86% of Americans, will not see extensive changes in their health care, if they even see any changes at all. What the Affordable Care Act mainly focus’ on is the …show more content…
When Obamacare first passed in 2010, it was expected that each state would run its own marketplace, different from HealthCare.gov, this is not the case though, since many of the states decided to let the national government take care of the marketplace and to use the federal system. There are multiple reasons for this transition to a sole federal system and marketplace. One of the reasons is that state budgets do not have enough money in order to build the infrastructure it needs, and grants are virtually unavailable, so many states are moving towards just using HealthCare.gov. Another reason is the recent Supreme Court case King v. Burwell which decided that health insurance consumers can receive federal subsidies regardless of their state’s role in running their insurance market, so fewer states are offering alternative options to the federal system. This court case essentially cuts out the need for an individual state system, when there is a perfectly fine functioning governmental federal system one. The only state that has a highly functioning system currently is New Mexico, and some say that this is the best system as states move