Sen. Berger, Speaker Tillis and Governor-elect McCrory are right – the best path for NC implementing a state health exchange is to wait.  Michael Cannon at the Cato Institute outlines a baker’s dozen reasons why the state exchanges will come back to bite us in the buns.  His list includes additional costs, less flexibility, federally control, tax increases and all in all a bad deal.  NC should hold off.

In a related article, Avik Roy from the Manhattan Institute and National Review, agrees states should reject setting thier own exchanges. He goes further and says since it won’t be repealed  make ObamaCare free-market, His ideas include reducing regulations of the exchanges, coordinating medicare and medicaid to cut costs, and letting people including medicaid recepients buy their own insurance.

If any of these ideas sound familiar you must have read JLF’s Agenda 2012 and found a great summary of health care reform.