Federal and state administered health insurance programs have always followed a now-predictable path. First, actual costs far outpace predictions. Second, government cuts reimbursements to health care providers. Third, when providers can't be cut any deeper, then government restricts patients' access to health care services. This is playing out once again in California, where the state has already made deep cuts to health care providers' repayments.  In a precursor to Obamacare, California is now requesting federal approval for a plan to ration care by limiting the number of times Medicaid beneficiaries can see a doctor!

The Democrats' health care law is a massive expansion of a fundamentally flawed system that will end up in the same place, rationing health care services to millions of Americans. Whether individuals have health care coverage through government-approved insurance in the Exchanges or as a result of the one-half trillion dollar Medicaid expansion, the path is predictable, well worn, and has the same destination: faceless bureaucrats deciding how much health care you will get regardless of what you need.

Unfortunately, Michigan recently took the first step towards making Obamacare a reality here, with the Michigan State Senate recently passing SB 693. This bill has the result of enforcing Obamacare through the creation of a state health care exchange. Health care exchanges are the new government bureaucracies designed to enforce the law's regulations, resulting in driving up premiums and distributing billions in taxpayer-funded subsidies.  Our local State Senator, Roger Kahn voted to create the exchange in Michigan.