They have also refused the federal dollars earmarked to expand their state-level Medicaid programs. And they have refused to lift a finger to establish the “exchanges” that are supposed to give individuals and small businesses the same access to health insurance at competitive prices that employees of large businesses get via their companies’ benefits departments.
但如今，2014年1月1日日益临近，平价医疗法案也即将实施——但可能并非全国各地。在南方和其他共和党控制的地区，立法者拒绝回答选民关于如何绕过新的改变了的官僚主义的问题。他们也拒绝了可用于扩大其州级医疗补助（Medicaid）计划的联邦资金。他们还拒绝花费举手之劳建立可以让个人和小企业通过公司福利部门以极具竞争力的价格获得大企业雇员同样的健康保险的“交换”。