Washington and Lee University School of Law, Lexington, Virginia, USA.
Health Aff (Millwood). 2010 Jun;29(6):1225-8. doi: 10.1377/hlthaff.2010.0404.
The Patient Protection and Affordable Care Act of 2010 looks to the states to implement its insurance regulatory reforms and exchanges, retaining for the national government what could be construed as merely a backup role. The law offers federal support to the states, along with opportunities to act creatively to meet residents' needs. It thus is unfortunate that a number of states have responded by challenging the law, both legislatively and judicially, rather than getting on with implementation. These challenges have no legal merit and are a serious distraction from the real work that lies before the states.
2010 年的《患者保护与平价医疗法案》指望各州实施其保险监管改革和交易所,将本可以被解释为仅仅是后备角色的职责保留给联邦政府。该法律为各州提供了联邦支持,同时也为满足居民需求提供了创造性行动的机会。因此,令人遗憾的是,一些州选择通过立法和司法手段对该法律提出质疑,而不是着手实施,这是没有法律依据的,并且严重分散了各州面前的真正工作。