States have done that out of spite for President Obama and to make their constituents think they're "being tough on the feds" or some stupid bullsh*t like that. Don't conflate the reasons.
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Not complicating the issue, it was passed forcibly, and states have rights too. Whether we agree or not, concensus should have be reached to pass such comprehensive and expensive legislation. Both side made dumb arguments and failed to stick to what is important in regards to healthcare. Our country should lead the world in health services, we don't. Not reaching an agreement is why.
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First of all, it's "forcefully". Second of all, federal law supercedes state law. The ACA was passed at the federal level, therefore it dictates how state law should be formed. A majority of congress, regardless of which way they sway, approved the law, and it was signed into law, ok? And yes, our healthcare was ranked 39th in the world at one point. And the ACA was passed in order to start improving on that ranking, ok? Eventually, we'll make it to single-payer healthcare and will be on par with other countries.
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Bernie? Is that you? I didn't know you played Destiny. That's cool man. Hey, saying "ok" a lot has to go, it's annoying. And yes forcibly, no physical force was not used, but throwing around the wait of executive office and signing executive orders to get a bill to the floor in such a was as it was is forcible. Winds are forceful, this was akin to a playground bully. Now that being said, I agree that we need a subsidized health care program. I don't think the one we have now works properly and needs to be changed. Single payer isn't the answer either though. It gives the government exclusive rights to dictate your healthcare, doctor wages, what can be covered and what cannot. It's a scary proposition. Medicare already has too much power in dictating the coverage people can get. Sometimes, if you don't have the cash, you are going to die. My wife works in a hospital and it's the one thing that frustrates her more than anything. If medicare doesn't agree with it, treatment isn't covered. And even private insurance will follow suit in many cases. We need more inclusive coverages. Yes some cases are a lost cause, that's not what I am talking about.