Sen. Russ Fulcher doesn't go as far as Sen. Sherlyl Nuxoll's likening the law to the Holocaust, but he makes a similar argument: That the "evil genius" of the Patient Protection and Affordable Care Act is luring the private insurance industry's support.
Fulcher, R-Meridian, as Senate Majority Caucus Chairman, is the spokesman for the Republican caucus and No. 4 Senate leader. His arguments against Gov. Butch Otter's plan to have the state run its own exchange rather than defer to the feds were written at the request of the National Federation of Independent Business. (NOTE: I first saw the Fulcher essay on Idaho Chooses Life's site and my original post erroneously suggested that's where the piece first appeared. Sen. Dean Cameron, R-Rupert, wrote the pro-exchange view for NFIB.)
Writes Fulcher: "Part of the evil genius of PPACA is that it depends on the private insurance industry to put the exchange mechanism in place. Ironically the organizations pushing hardest to implement state-based exchanges (the insurance carriers) have the most to lose...."
Fulcher's bottom line: "If you believe in the principles of socialism and turning over an INCREMENTAL 1/6 of the nation-wide GDP to the federal government (via healthcare), then you will want to support the state-based exchange.
"If you believe in the free market, capitalism, personal responsibility and liberty, you will NOT want to cooperate with a state-based exchange."
Fulcher outlines four major arguments: that a state exchange is a form of voluntary compliance with negative legal implications; that the state will be in charge of enforcement; that the private insurance industry will be damaged; and that it is irresponsible to take on a responsibility with unknown costs and rules.
Fulcher notes that 25 states have decided not to create a state-run exchange and refusing to do so may help the law fail.
"With expertise and fiscal resources scarce, and with other complications caused by an unpopular nationwide mandate for citizens to purchase insurance (PPACA), the federal government is under immense pressure having to impose federal-based exchanges in so many states," Fulcher writes. "The feds should be granted every opportunity to fail, and hopefully they will."
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