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not know what obama care looks like. if the start update was january 1, 2012, we would have a totally different discussion right now because open enrollment would be going on all over the country. people would be in the exchanges. the date got pushed back for a variety of reasons, mainly fiscal reasons to reduce the cost that cbo estimated it would have. but, there were other alternatives. in particular, there was an option that would not have increased the cost that much. it would have been significant. it s called a rolling start. it would have let states come in when they were ready. the incentive for the states would have been enormous. they would have gotten the money sooner. it would have changed the politics in the states. instead of dragging their feet, they would have had a reason to act early. that is what came out. senator kennedy s old committee.