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Obamacare won't be repealed. States now must act.

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“States can and do have the power to reject federal attempts to compel their action. Governors should use that power to tell the federal government no,” AFP state policy manager Nicole Kaeding said in a statement Friday. “By creating an exchange, states will serve as de-facto administrators of the federal government implementing its rules, regulations and mandates.”

BEYOND OBAMACARE: 5 opinions on health care reform

Kansas Gov. Sam Brownback (R) is typical of those refusing to cooperate with Obamacare.

“Kansans feel Obamacare is an overreach by Washington and have rejected the state’s participation in this federal program,” Gov. Brownback said in a statement after this week’s election. “My administration will not partner with the federal government to create a state-federal partnership insurance exchange because we will not benefit from it and implementing it could cost Kansas taxpayers millions of dollars.”

On Friday, a group rallying at the statehouse in Topeka urged Brownback to accept the federal expansion of Medicaid, something he has yet to decide.

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