“But if the watchman see the sword come, and blow not the trumpet, and the people be not warned;

if the sword come, and take any person from among them, he is taken away in his iniquity;

but his blood will I require at the watchman's hand."

Ezekiel 33:6


"A righteous man falling down before the wicked is as a troubled fountain, and a corrupt spring."

Proverbs 25:26

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Republican Governors Send Letter To HHS Secretary Kathleen Sebelius


While continuing to fight for a total overhaul of the Patient Protection and Affordable Care Act (PPACA), 21 Republican governors sent a letter today to U.S. Health and Human Services Secretary Kathleen Sebelius asking her to make six critical adjustments to the rules concerning state-run healthcare exchanges or risk having the federal government assume full responsibility.

The Governor’s are asking her to make six changes to rules about state-run health care exchanges or risk the federal government taking full responsibility for running a national exchange.
Daniels also wrote an opinion editorial on the same topic that appeared in today’s Wall Street Journal.

In the letter, the governors said “We wish states had been given more opportunity to provide input when the Patient Protection and Affordable Care Act was being drafted. We believe in its current form the law will force our health care system down a path sure to lead to higher costs and the disruption or discontinuation of millions of Americans’ insurance plans.”

The governors have asked for changes such as granting states authority to choose benefits that meet the needs of their citizens and waiving provisions that discriminate against consumer-driven health plans, such as health savings accounts.
Here is a link to the governor’s op-ed: 
An ObamaCare Appeal from the States

Read The letter to Secretary Sebelius below:


The Honorable Kathleen Sebelius
Secretary
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, DC 20201 

Dear Secretary Sebelius;
Many of us believe the Patient Protection and Affordable Care Act (PPACA) should be repealed by Congress if the courts do not strike it down first. 
But, with no assurance of either outcome, we face the decision of whether to participate in the bill by operating state exchanges, or to let the federal government take on that task, if the bill remains in effect in 2014. 
In addition to its constitutional infringements, we believe the system proposed by the PPACA is seriously flawed, favors dependency over personal responsibility, and will ultimately destroy the private insurance market. 
Because of this, we do not wish to be the federal government¡¦s agents in this policy in its present form. 
We wish states had been given more opportunity to provide input when the PPACA was being drafted. We believe in its current form the law will force our health care system down a path sure to lead to higher costs and the disruption or discontinuation of millions of Americans¡¦ insurance plans. 
Though we still have grave concerns with other provisions of the PPACA, we suggest the following improvements:
  • Provide states with complete flexibility on operating the exchange, most importantly the freedom to decide which licensed insurers are permitted to offer their products
  • Waive the bill¡¦s costly mandates and grant states the authority to choose benefit rules that meet the specific needs of their citizens.
  • Waive the provisions that discriminate against consumer-driven health plans, such as health savings accounts (HSA’s)
  • Provide blanket discretion to individual states if they chose to move non-disabled Medicaid beneficiaries into the exchanges for their insurance coverage without the need of further HHS approval.
  • Deliver a comprehensive plan for verifying incomes and subsidy amounts for exchange participants that is not an unfunded mandate but rather fully funded by the federal government and is certified as workable by an independent auditor.
  • Commission a new and objective assessment of how many people will end up in the exchanges and on Medicaid in every state as a result of the legislation (including those “offloaded” by employers), and at what potential cost to state governments. The study must be conducted by a neutral third-party research organization agreed to by the states represented in this letter.
We hope the Administration will accommodate our states’ individual circumstances and needs, as we believe the PPACA in its current form threatens to destroy our budgets and perpetuate and magnify the most costly aspects of our health care system. 
While we hope for your endorsement, if you do not agree, we will move forward with our own efforts regardless and HHS should begin making plans to run exchanges under its own auspices. 
Sincerely, 

Governor Robert J. Bentley, Alabama
Governor Nathan Deal, Georgia
Governor C.L. “Butch” Otter, Idaho
Governor Mitch Daniels, Indiana
Governor Terry E. Branstad, Iowa
Governor Sam Brownback, Kansas
Governor Bobby Jindal, Louisiana
Governor Paul R. LePage, Maine
Governor Haley Barbour, Mississippi
Governor David Heineman, Nebraska
Governor Brian Sandoval, Nevada
Governor Susana Martinez, New Mexico
Governor John R. Kasich, Ohio
Governor Mary Fallin, Oklahoma
Governor Tom Corbett, Pennsylvania
Governor Nikki Haley, South Carolina
Governor Dennis Daugaard, South Dakota
Governor Bill Haslam, Tennessee
Governor Rick Perry, Texas
Governor Gary R. Herbert, Utah
Governor Scott Walker, Wisconsin




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