States are now ground zero for health reform: the law puts enormous pressure on states to act quickly and decisively. Should they implement an insurance exchange, or default to a federally run alternative? Should the state’s Medicaid program be expanded per the law? And how quickly and effectively can states implement eligibility systems to optimize fraud detection and verify eligibility for government programs?
Can the GOP in North Carolina do anything quickly and decisively without screwing up? Not likely IMHO.