Among the lies that Senator Thune, Senator Rounds, and now Governor Daugaard are using to sell the latest Republican attempt to repeal the Affordable Care Act is that Cassidy-Graham empowers states to make their own health care decisions.
Sure, states are empowered… if you think “empowered” means being limited to a narrow menu of Republican policy options and forbidden from using federal money to offer your citizens a public option or single-payer system.
Section 106 of Cassidy-Graham lists the only seven policy options states may pursue with the block grants they would receive from repurposed ACA taxes. Most require working through private insurers. None allow single-payer. Senators Cassidy and Graham have said as much.
The translation: dictating health insurance policy to states is unacceptable when Democrats do it, but its great reform and liberty when Republicans do it.