It's going to be fairly simple for the federal government to set up the exchanges. They already have a framework with the federal workforce. I think the hard part will be getting people to sign up. Many of the low income or poverty people may not have any idea when or how to sign up, nor have access to reliable computer service. Will they sign people up at health clinics? I thought more health clinics were part of the ACA, but I haven't heard much about that.Given the Social Security field system already in place nationwide, it would be fairly easy to utilize those locations (expanded sites) to also handle healthcare applications and computers for the public to use. Secure telecom is already in place for most of them--and easily expanded. IRS offices could also be used (or expanded). Plus, the govt already has a Medicare web site, so it would not be hard to add a Healthcare.gov website and just go from there. Guess what? www.Healthcare.gov already exists--guess what for? LOL !! Obama may be a step (or three) ahead of those who choose to not create their own exchanges.....
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