House Boat Insurance Agency

While GOP balks, Dayton moves ahead with Minnesota health exchange

They were for it before they were against it.

Back in the 1990s, when the Clinton administration was pushing for massive federal changes in the health care system, angry Republicans countered with a plan they found much more reasonable:  Health Care exchanges.

But this morning, at a news conference unveiling Minnesota's first step toward such an exchange, Gov. Mark Dayton noted that no legislative Republicans were on the task force that came forward with recommendations for how a health care exchange in the state should work.

"We offered two positions [on the task force] for Senate Republicans and two for House Republicans," Dayton said. "They declined to be a part. … It's just a shame they were unwilling to work on this."

And perhaps a surprise, too.

Key Republican constituencies – the Minnesota Chamber of Commerce, the Minnesota Business Partnership – are supportive of the effort to create a state exchange.  But Republican legislators to date have opposed the idea, presumably because it's part of the federal health care reform law that Republicans contemptuously call "Obama-care."

It's unlikely this step, the exchange, can move forward without significant support from the Republican majorities in the House and Senate.

"They're missing the boat on this one," said Daniel Schmidt, a St. Paul small-businessman who is an eager supporter of the exchange concept.

The plan unveiled this morning is very big picture and very lacking in detail. But then, that's not surprising. Bringing together the various players in health care — the providers, consumers, the government — is no small task.

Still, the goal is simple: a one-stop marketplace where all players can compare and contrast the benefits and costs of health care insurance.  DFLers on the committee hope to have the task force's initial presentation turned into legislative language within a week or two.

Then, the fight will begin. Is this a step closer to "Obama-care," or is this a good idea for the health of Minnesotans no matter how the federal program unfolds?

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