Another strategy is to challenge the unpopular individual mandate, which requires everyone to buy health insurance. Coalitions of states are pursuing several different lawsuits challenging the constitutionality of this mandate. A federal judge in Michigan ruled in favour of the Obama administration earlier this month in one of the suits, but the matter is likely to be fought all the way to the Supreme Court.
The most promising mode of attack for the right may be state-led obstructionism. Republican leaders in many states, most notably Utah and Alaska, have suggested they will simply not implement Obamacare. Governor Tim Pawlenty of Minnesota has ordered state officials not to co-operate with the reforms, even turning down(关小,调低;拒绝) grant money. He insists states have the right to decide whether they want to implement the laws slowly or quickly. He vows to fight the federal power grab until a repeal bill can be signed in 2013 by a new Republican presidentperhaps, he hopes, even himself.
One excuse for such intransigence(不妥协,不让步) comes from the messy transition now taking place in the insurance markets. In the long term new insurance exchanges, due to appear in 2014 and backed up with fines and subsidies, are supposed to curb rising health costs and premiums. That may or may not happen; a lot depends on how a new panel meant to hack away at the cost of government-reimbursed health care for the elderly works in practice. But in the short term, individual Americans buying cover for next year have already seen their premiums increase by an average of around 20%. Mercer, a benefits consultancy, estimates that bigger corporations think health costs will increase by around 10% next year if no preventive action is takenwith roughly a quarter of that increase stemming from new health regulations.
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