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Is Rick Perry's Rejection of the Affordable Care Act Political Posturing or a Portent of What's to Come?

Written by Andrea Grimes for RH Reality Check. This diary is cross-posted; commenters wishing to engage directly with the author should do so at the original post. On Monday, Texas Governor Rick Perry publicly rejected two major tenets of the Affordable Care act, saying the state would not participate in the individual state exchanges nor in the federal Medicaid expansion. In a letter to U.S. Health and Human Services Secretary Kathleen Sebelius released yesterday, Perry wrote that the "Orwellian-named PPACA" would "make Texas a mere appendage of the federal government when it comes to health care." Texas, which has the highest rate of uninsured people in the country -- about one in four Texans currently have no insurance -- could receive over a hundred million dollars from the federal government over the next few years, enabling the state to dramatically expand Medicaid overage to low-income adults who are not currently eligible. But, instead, Perry wrote that he believes the Medicaid expansion would "exacerbate the failure of the current system, and would threaten even Texas with financial ruin." Texas is already in serious financial trouble, and Perry's dedication to rejecting any help, or dipping into state reserves, has put it in ever more dire straits. Continue reading....