Could Oklahoma unravel Obamacare?

With the judicial and political options for voiding Obamacare now apparently off the table, the final hope to defeat the DMV-ization of the best medical system on the planet may be the vast law's inherent contradictions. Hastily and sloppily put together, there are loopholes in the law that may be big enough to drive all of Oklahoma through. But only if Oklahoma's elected officials continue to exercise their options under the law not to implement certain policies:

Matt Kibbe, president of FreedomWorks, writes in a recent email:

Those who favor limited government have a tremendous opportunity to derail the largest expansion of government in recent history - ObamaCare. If Oklahoma and other states refuse to create a health care exchange, ObamaCare will completely unravel.

Governor Fallin will play a big role in deciding whether or not to establish an exchange in Oklahoma. Please send a message to Governor Fallin and your state legislators urging them to opt out of the exchange. Now is the time to make your voice heard and do everything you can to oppose the health care takeover.

Exchanges are massive bureaucratic entities that will force Americans to buy health insurance. They will serve as the vehicle transporting hundreds of billions of taxpayer dollars to private insurance companies. Each state is being pressured to create its own exchange because the federal government cannot otherwise direct the premium subsidies and enforce the various mandates.

And the law is clear: states are under absolutely no obligation to submit to the federal government and create an exchange.

If enough states opt out of the health care exchanges, Congress will have no choice but to reexamine the law. Without its subsidies and its mandates, ObamaCare cannot function. If we can block the exchange in Oklahoma, we can lead the country in blocking ObamaCare altogether!

This is the last stand in the battle to defeat President Obama's health care takeover, and we'll need every ounce of energy you can muster. Send a message to Governor Fallin and your state legislators right now! Let it be known you want no part of ObamaCare in Oklahoma!

Meanwhile, a lawsuit filed in September by Oklahoma Attorney General Scott Pruitt challenges an an IRS rule that imposes a mandate on employers where the Obamacare law doesn't require it, in states which have not instituted a medical insurance exchange. According to a recent story in Business Insurance:

While the ramifications of the suit pending in the U.S. District Court in Muskogee, Okla., are huge, the challenge brought last month has gotten little attention...

What is clear is that the outcome of the lawsuit could be crucial for the future of the health care reform law, observers said.

If premium subsidies are not available in federally established exchanges, "No one would go to those exchanges. The whole structure created by the health care reform law starts to fall apart," said Gretchen Young, senior vice president-health policy at the ERISA Industry Committee in Washington.

"The health care reform law would become a meaningless law," added Chantel Sheaks, a principal with Buck Consultants L.L.C. in Washington.