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intercst:"No problem, if you don't pay the monthly premium, your insurance gets cancelled and the subsidies end -- same as any other consumer purchase.

I suspect many of the people without credit cards or bank accounts will qualify for Medicaid and won't be getting any bills at all."

Only in those states expanding Medicaid - and setting themselves up for massive tax increases in 3-5 years - will 'low income folks' get on Medicaid.

My 'low income' friend in TN was told by the health care exchange site that she should sign up for TN Medicaid (TennCare)......the only problem is that TennCare is bust and isn't taking any new people and hasn't for years. It's even dropping more people on it each year.

Same in Medicaid expansion.

Worse, it won't let her buy a policy with subsidy. Nope.....

Even worse.... they tell her she makes too little (thanks to Obama and the 28 work week) that she won't be responsible for paying a 'penalty'. much for 'universal health care'....oh...and they sent her a letter explaining it was the 'nasty' folks in TN who refused to expand :Medicaid as being the reason why she won't be covered and has no options under ObamaKare.

As screwed up as the gov't system is.....with no hope of the 'back office' systems being on line by Jan 1, the feds will have no clue as to who has paid and who hasn't

Did you read the news? They haven't even started on the 'back end' systems!....nor the integration!.....nor the security of the payment systems! the reporting systems..... What a crock!

They'll have no clue as to who hasn't paid. The subsidy money will flow uncontrolled by the hundreds of billions.....

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