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Exchange Politics – Opposing Obamacare in Battleground States - Oxford Scholarship Online
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Exchange Politics: Opposing Obamacare in Battleground States

David K. Jones


The Affordable Care Act (ACA) required that each state set up a health insurance exchange or lose control to the federal government. Because Republicans had supported the concept before it became part of Obamacare, virtually every state was expected to cooperate and implement this core part of the law. However, 34 states refused to participate. This is a stunning miscalculation by the Obama administration. This book tells the story of what happened in the final two states to choose state control and the two that came the closest. The most intense split was not between Republicans and Democrats ... More

Keywords: health, reform, policy, Affordable Care Act, Obamacare, state politics, exchange, federalism, Tea Party, interest group

Bibliographic Information

Print publication date: 2017 Print ISBN-13: 9780190677237
Published to Oxford Scholarship Online: November 2017 DOI:10.1093/oso/9780190677237.001.0001


Affiliations are at time of print publication.

David K. Jones, author
Assistant Professor, Health Law, Policy & Management, Boston University School of Public Health