Health-care changes on governors' minds
Several of the 12 Democratic governors shared that sense of nervousness-veiled-by-optimism Saturday at the National Governors Association in Milwaukee.
"There's some angst, and you can see that from the decision the administration made a couple weeks ago," said Delaware Gov. Jack Markell, the association's chair. "There's a lot of work to do."
By next Jan. 1, most people will be required to have insurance. States have to set up exchanges by Oct. 1, when uninsured individuals can start buying subsidized private health coverage that would go into effect Jan 1, and businesses with more than 50 employees working 30 or more hours a week were supposed to offer affordable health care to their workers or risk a series of escalating tax penalties.
That caused some Democrats in Congress to worry the program would not be ready on time, as states are building online platforms for their residents to use to comply with the law. Although the U.S. Supreme Court upheld the Affordable Care Act in June 2012, the Republican-controlled House has voted 40 times since Obama signed the law in 2010 to repeal, defund or scale it back, most recently Friday.
As Congress prepared to head home for a five-week recess, Obama sought to calm Democrats, assuring them that they are "on the right side of history" despite problems with the law's launch.
Republicans have stated openly they plan to use the slow economic recovery and the health care law to attack Democrats in the 2014 congressional elections.
Wisconsin Gov. Scott Walker, the governors' host and a possible 2016 Republican presidential prospect, said Obama delayed the employer mandate out of fear voters would blame Democrats in the 2014 elections if the economy suffered as a result of the new law.
"A cynic would be right to say the reason they pushed back the employer mandate had little to nothing to do with policy and everything to do with politics," Walker said.
Most of the two dozen governors from both parties gathered at the conference expressed confidence that their states would be ready on time, especially Democrats, although they said the work is daunting.
"Any time you go and make this much change in this short a period of time, it does cause headaches," Colorado Gov. John Hickenlooper said. But with that pain comes progress, Hickenlooper and others argued. And those Republicans who have resisted or delayed taking action will pay the price.
Long before the election, the philosophical debate over the bill will have turned into a practical reality for millions of newly insured voters.
"Choosing ideology over jobs and affordable health care is a false choice, and it's an example of the differences between Republicans and Democrats," said Vermont Gov. Peter Shumlin, a Democrat.
Among the challenges states are encountering are the technological requirements to allow buyers to search for insurers, rates, and benefits on the exchanges.
Despite the headaches, the alternative to the status quo is worse, Maryland Gov. Martin O'Malley said. "Nothing could be more complicated than doing what we were doing before, which was to throw away more and more money on more expensive care for worse results," said O'Malley, a Democrat.