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States damaging their own case with insurance-exchange moves

On Nov. 14, the U.S. Supreme Court granted review of the 26-state lawsuit against the president’s health care law, the Patient Protection and Affordable Care Act. The court granted five and half hours for oral argument, including two hours of argument on the individual mandate and one and a half hours on severability, which addresses whether, in the event the mandate is found unconstitutional, the entire act must be stricken as well.

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Federal money for health exchange puts Brewer in bind (access required)

The $30 million that Arizona received this week from the Obama administration will help the state develop and design a health insurance exchange website that can seamlessly interact with Medicaid.

But the pot of money, particularly given its size, potentially poses legal and political complications for Gov. Jan Brewer, who is against the federal health care overhaul and led Arizona in suing over its constitutionality.

Some view Brewer’s decision to seek the grant as tantamount to surrendering Arizona’s case.

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Arizona gets $30M from feds for state-based exchange

Arizona today received $30 million in grant money from the Obama administration to help the state establish a health insurance exchange.

This is on top of the $1 million in planning grant the state earlier got.

The exchange, which is aimed at making it easier for individuals and small businesses to purchase health insurance, is a key component of the federal health care overhaul.

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Broaden the health care conversation to include alternatives

One of the challenges to having good choices is how inclusive those choices are with respect to the methods of care that Arizona citizens find effective and economic. To the extent those effective methods are not part of the conversation the care offered through the exchange may be inadequate or discriminatory.

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