What's important to remember politically about this, is if youโre a state and you donโt set up an Exchange, that means your citizens donโt get their tax credits. But your citizens still pay the taxes that support this bill. So youโre essentially saying to your citizens, youโre going to pay all the taxes to help all the other states in the country. I hope thatโs a blatant enough political reality that states will get their act together and realize there are billions of dollars at stake here in setting up these Exchanges, and that theyโll do it. But you know, once again, the politics can get ugly around this.
Jonathan GruberLack of transparency is a huge political advantage. Call it the stupidity of the American voter or whatever, but basically, that was really, really critical for the thing to pass.
Jonathan GruberUltimately, what may be needed to address the obesity problem are direct taxes on body weight.
Jonathan Gruber