In June, the Supreme Court upheld the individual mandate in President Obama’s national health care law. The mandate makes possible an expansion of Medicaid and the establishment of subsidized health insurance exchanges. These two provisions will be responsible for $1.7 trillion in spending over the next decade, according to the Congressional Budget Office. Together, they are expected to provide insurance to 30 million Americans and create the infrastructure that liberals hope to use to push the nation, over time, into a fully government-run health care system.
With Obama re-elected, repeal ceases to be an option for at least the next four years. So 30 Republican governors will have to make a decision about whether they want to help the federal government implement Obamacare, or leave the onus on the Obama administration.