...Long term, the development of a State-Federal partnership health insurance exchange
would likely have no ongoing direct fiscal impact on State or local finances, as the
operations of the exchange would be paid for by fees paid on premiums offered through the
exchange. It should be noted that the exchange, no matter who runs it, cannot provide
private insurance to Medicaid-eligible individuals....
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Fees are taxes and we are about to be taxed out of our homes.
http://www.legislature.mi.gov/documents/2013-2014/billanalysis/Senate/pdf/2013-SFA-4111-S.pdf
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