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Obamacare requires that exchanges offer at least one "Multi-State plan" to combat that lack of competition in rural areas, but it will take a year or two before it's fully implemented.

Good to hear. I've told DH more than once that when it comes to the ACA I am really glad we are not retiring for another 18 months. I am happy to stay out of the fray until the rules are better defined.

Heh. I remember when Galeno was posting on the REHP, long before it morphed into the unfortunate state it is in today under it's new name. Was strongly considering retiring to Costa Rica when he talked about the state of medicine there. Glad to finally have hope of medical care here in the USA.

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