I'll tell you what's gonna happen with healthcare and the GOP

[obxhead]

2. It's up to the states to choose whether or not to implement their own version of some parts ACA.

Most of those parts WILL be implemented one way or another though. The exchange for instance will be in every state regardless of what these governors say. If they refuse, the federal gov will just run it for them at the states cost after the fed money runs out for the initial time frame. Their will be an exchange in every state though.

The medicare/caid part they actually can opt out of. They are shooting themselves in the foot though as doing the boosts to those programs will bring in more money than they cost. So I think in the end they will do it as well to get the money added to their flagging systems.

It's election season. Politicians SAY a lot of things they have no intention of following through on.