Who Will Finance State Healthcare Insurance Exchanges?

The pros and cons of state versus federal government financing

Jordan C. Apfeld, BA; Vasanth Sathiyakumar, BA; A. Alex Jahangir, MD; and Manish K. Sethi, MD

In state capitols across the United States, a battle has recently raged about the development of healthcare insurance exchanges and who should build them: the state or the federal government. The implementation of these exchanges will dramatically influence the American healthcare landscape in the coming years. This article briefly reviews the concept of the healthcare insurance exchange and examines the pros and cons of state versus federal creation and administration.

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