While much of the political discussion in the last couple of weeks centered on marginal or made up issues such as Mitt Romney’s tax returns or whether or not he committed gaffes abroad, the implementation of ObamaCare this month is placing the real stakes of the fall election in focus. On August 1, the preventive mandate ordered by the Department of Health and Human Services went into effect, forcing nearly all employers in the country, including those whose religious and moral scruples forbid it, to pay for abortion-inducing drugs, contraception and sterilization. The implementation of the HHS mandate, only staved off in some instances by challenges from religious institutions and individuals, will compel businesses around the nation to choose between violating their religious beliefs or give up providing insurance and face heavy government fines.
At the same time, as the New York Times reported yesterday, the federal government is moving quickly to set up health exchanges in states that are refusing to take part in ObamaCare. This means Washington will be operating health markets in perhaps half of the states in the union. With the refusal of Republican governors and legislatures to take part in this massive expansion of federal power, the result of their principled decision will be to give the Obama administration the opportunity to set up an even more massive and unwieldy bureaucracy than even its opponents envisioned. Combined with the merciless advance of the HHS Mandate, it’s clear that while the two parties and their presidential candidates will be trading blows on a wide array of issues, the one thing we know for sure that will hang on the outcome will be whether the government will be proceeding after January to continue the implementation of ObamaCare.