(Author's Note: I apologize for the formatting issues. That's why I posted the link to the original letter.)July 9,2012The Honorable Kathleen SebeliusSecretaryU.S. Department of Health and Human Services200 Independence Avenue, S.W.Washington, D.C. 2020IDear Secretary Sebelius :In the ObamaCare plan, the federal government sought to force the states to expand theirMedicaid programs by *in the words of the Supreme Court-putting a gun to their heads. Nowthat the "gun to the head" has been rernoved, please relay this message to the President: I opposeboth the expansion of Medicaid as provided in the Patient Protection and Affordable Care Actand the creation ofa so-called "state" insurance exchange, because both represenLbrazenintrusions into the sovereignty of our state.I stand proudly with the growing chorus of governors who reject the PPACA power grab. ThankGod and our nation's founders that we have the right to do so.Neither a"state" exchange nor the expansion of Medicaid under the Orwellian-named PPACAwould result in better "patient protection" or in more "affordable çate." V/hat they would do ismake Texas a mere appendage of the federal government when it comes to health care.The PPACA does not truly allow states to create and operate their own exchanges. Instead, itgives the federal government the final say as to which insurance plans can operate in a so-called"state" exchange, what benehts those plans must provide, and what price controls and cost limitswill apply. It leaves many questions to be answered later through federal "future rulemaking."In short, it essentially treats the states like subcontractors through which the federal governmentcan control the insurance markets and pursue federal priorities rather than those of the individualstates.Through its proposed expansion of Medicaid, the PPACA would simply enlarge a broken systemthat is already financially unsustainable. Medicaid is a system of inflexible mandates, one-sizefits-all requirements, and wasteful, bureaucratic inefficiencies. Expanding it as the PPACAprovides would only exacerbate the failure of the current system, and would threaten even Texaswith financial ruin.I look forward to implementing health care solutions that are right for the people of Texas. Iurge you to support me in that effort. In the meantime, the PPACA's unsound encroachmentswill find no foothold here.Sincerely?*lRick PerryGovernor
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