Now that the North Carolina Senate has sent a clear signal that it opposes both Medicaid expansion and a state-based health exchange, the state capital is abuzz with complaints and speculations.

Are Senate leader Phil Berger and his colleagues trying to establish their supremacy over the McCrory administration? Are they trying to use state action to nullify a federal law? Are they just making a political statement instead of making public policy?

No, no, and no. North Carolina Republicans have long opposed Obamacare – its conception, its faulty design, its intrusion on state and private prerogatives, and its dire implications for health care markets, economic growth, and personal liberty. After Chief Justice John Roberts blinked on the constitutional question and President Barack Obama won reelection, GOP leaders recognized that immediate repeal of the legislation was impossible. But that doesn’t mean they’ve accepted Obamacare as a permanent fixture of American life.

They know, just as many liberal experts must surely know, that the bill contains so many fundamental flaws that it cannot last long in its current form. For example, the taxes on uninsured individuals and uncooperative businesses, while annoying, are too low to motivate universal compliance. For many people, it will make more sense to pay the tax than to buy expensive, federally approved health insurance. Those Americans who do decide to take Washington up on its offer will tend to have preexisting conditions or a high likelihood of medical needs. Some will be dumped onto the new exchanges by their employers. Others will enter from the individual market, or from the ranks of the uninsured.

Parts of the private insurance market, in other words, are about to blow up. Estimates vary, but it is likely that in a few months North Carolina health insurers will release eye-popping rate increases for 2014. In the small group and individual market, the proposal will be to hike rates 100 percent or more for some customers, and maybe half that for many customers. Additional turmoil in the market will lead many people to lose their current insurance policies altogether. Nationwide, some 7 million people will likely lose their employer-sponsored plans. North Carolina’s number may end up in the six figures.

For some Obamacare advocates, this will come as a shock. They truly believed the original promise that the law would cut health care costs and insurance premiums. But other advocates won’t be shocked at all. They never believed in the efficacy or desirability of private health care arrangements, anyway, and see blowing up the insurance market as the necessary precondition for the subsequent adoption of Medicare/Medicaid for all.

At the state level, then, fiscally conservative governors and lawmakers have had to do their homework and understand what is really going on. They have had to learn that one reason the Obama administration desperately wants states to create their own insurance exchanges is that it will give voters multiple officials and levels of government to blame for an unpopular policy likely to become even more unpopular. In other words, Washington is playing politics with the states, not the other way around.

State officials have also had to learn that the Obama administration isn’t prepared to set up dozens of new federal exchanges this fall, anyway. Implementation delays are likely. Furthermore, they have learned that by the plain text of the Affordable Care Act, much of its architecture – taxes, credits, and mandates – are predicated on the existence of state exchanges. By defaulting to a federally run exchange, they may well shield their state’s households and businesses from these measures, if current litigation by Oklahoma and other states is successful in the federal courts.

None of this constitutes nullification. It constitutes North Carolina officials exercising their due diligence, along with those of other states, to put pressure on Congress to take remedial action. Repeal is impossible while Obama is president. But Congress may find it necessary to revisit key provisions of what will soon be revealed as an unworkable law.

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On that note, I’d like to add my thoughts on keeping the pressure on our NC legislators.

North Carolina is one of the reddest states in America.

We have a Republican Governor and Lt. Governor…

A Republican majority on the state Supreme Court…

Nine of our thirteen U.S. Congressmen are Republican.

Our state General Assembly is dominated by Republicans — with a 33-17 majority in the State Senate, and a 77–43 majority in the State House of Representatives.  That’s a veto-proof super-majority!

Nullifying ObamaCare should be a slam dunk!

What Republican would be against ending ObamaCare?

Earlier this week, the NC State Senate passed S4.

If it becomes law, it will block implementation of ObamaCare in North Carolina.

But, we need to keep up the pressure. If we don’t, then the statists might derail our efforts to stop ObamaCare in North Carolina.

Why?  As they say … follow the money!

You see, Governor Pat McCrory is worried that if S 4 passes the House, North Carolina will have to return $40 million in federal grants from Barack Obama.  The money was sent here last year to implement a program called NC FAST, intended to manage the Medicaid expansion called for in ObamaCare.  S 4 specifically refuses that money, and calls for it to be sent back to Washington, strings and all.

We have to stand strong and demand passage of this bill.  We can’t accept excuses!

Governor McCrory has been hemming and hawing and refusing to take a firm position for or against ObamaCare implementation ever since last year’s election.  He sent a letter to the NC Senate this week urging them NOT to pass S 4.

Thanks to your pressure, the Senate passed S 4 over the Governor’s objections.

Now, Governor McCrory is putting pressure on Thom Tillis and the NC House to “slow things down.”

This is the kind of sneaky stuff that will be done by those who want full implementation of ObamaCare, but know they cannot support it publicly.

This is the kind of stuff we must oppose!

Contact Governor Pat McCrory right away at (919) 733-5811.  Tell him to stop obstructing our efforts to block ObamaCare in North Carolina!

Then, contact House Speaker Thom Tillis at (919) 733-3451.  Tell him you expect to see H16 (the House companion bill to S4) brought to the House floor for a roll call vote immediately!

Finally, contact Rep. Tim Moore, Chairman of the House Committee on Rules, Calendar, and Operations of the House.  Tell him to pass H16 through his committee and bring it to the House floor for a roll call vote immediately! Call Rep. Moore today at (919) 733-4838!