Are 50 different sets of rules really more workable than one?

To the folks on the right who criticize Obamacare because the law is “a mess” — too long, difficult to enforce, etc. — is it really consistent to also support Mitt Romney’s idea that each state should have its own plan?  Isn’t having 50 different plans for 50 different states infinitely (well, at least 50x) more complicated than having one national plan, even if that plan is, admittedly, very complex?

And for those who oppose the ACA because they think it’s harmful to business: If you’re worried about businesses having to navigate the complicated terrain of government regulation, isn’t having one law that applies to businesses no matter where they are in the country a lot simpler than businesses having to figure out which of the 50 different sets of rules applies to them?  Under such a system, what happens to businesses that operate in multiple states?  Do they have to treat employees differently based on their state of residence/employment?  Or would businesses be under only the jurisdiction of the state in which they are headquartered, thus creating perverse incentives for states to “race to the bottom” of health care requirements to attract businesses?

Mitt Romney will continue to assail the ACA as a “bad law” and criticize it for a lack of workability.  He has a right to do so — implementation of an overhaul of an industry that makes up 1/6 of the economy is inherently complicated.  But his implication — that 50 different laws passed by 50 different states is somehow more workable and will be easier for patients and businesses to deal with — well, to borrow a phrase used recently by Antonin Scalia: it boggles the mind.


About Hammertime
Georgetown sophomore, Job Creator.

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