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January 03, 2007

Comments

Don Levit

If states really wanted to experiment with innovative approaches, they should get away from mandating that employers, individuals, and the state and federal government share in financing the same old, tired products.

While states can regulate insurers, they also, according to federal law, must regulate multi-state ERISA plans in a uniform and consistent manner.
I think this opens up a lot of innovative features for self-funded VEBAs located in 3 contiguous states.
Don Levit

Roy Harmon

In terms of federalism, I would expect to find conservatives seeking an expanded role of State government, and that only as a feature of an overall perspective that limited government is best.

A recent article appearing on the Heritage Foundation website comments that "[s]tates are taking the lead in health care reform, and Massachusetts’ new system includes important innovations. Much can and should be learned from states’ efforts. Successful health care reform in the United States is much more likely to come from such experimentation, and its lessons, than from imposing solutions from Washington. State experimentation in health care follows in the footsteps of welfare reform and embodies the benefit of federalism." http://www.heritage.org/Research/HealthCare/wm1045.cfm

(Flaws in the Massachusetts plan "that reflect the state’s liberal politics" are alse noted in the article.)

On this view, the conservative would support State initiatives, but prefer solutions that limit the government's role.

Roy

Frank Cummings

Exactly, Roy! It's a paradox. They seem to have given up on an improved federal law, just when they have won a national election!
Frank

Roy Harmon

Frank,

Your statement that "the supporters of non-preemption are, these days, at the liberal end of the political spectrum" intrigues me. It would seem that the "liberal end" of the spectrum (in terms of the traditional political paradigms) would favor federal over State control. Now I understand you to say that it is the liberal crowd that favors enlarging the States' domain.

Roy

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