Yesterday I wrote about the myth that the primary vote taken in August 2010 (called Proposition C), which has been characterized by some people as an overwhelming vote by the state of Missouri "against Obamacare" cannot be characterized that way because in fact the proposition was a vote on a very narrow part of the law -- only the individual mandate provision.  That is well-known to be the least popular provision of Obamacare, so it is in fact no surprise that a proposition against it was passed 71-29%.

I want to make a similar point about Proposition E, which was passed in November 2012.  Again some individuals are characterizing this as a referendum on the entire Obamacare law (for example, Speaker Jones has made the same claim about Proposition E, see reference below).  

Yet, Proposition E was again a narrow question, asking "
Shall Missouri Law be amended to prohibit the Governor or any state agency, from establishing or operating state-based health insurance exchanges unless authorized by a vote of the people or by the legislature?" [ http://ballotpedia.org/wiki/index.php/Missouri_Health_Care_Exchange_Question,_Proposition_E_(2012)#Ballot_text ]  This ballot measure won 61-38%.

This measure again had no formal effect, but had a persuasive power on the Governor, who subsequently made the decision to tell the federal government that Missouri would not pursue a state-based Health-Insurance Exchange in Missouri.  However, by all means this does not mean that Missouri will not have a Health Insurance Exchange or ("Marketplace") as it is now being called.  It means that the state has opted to have the federal government come in and run the Marketplace, which it will do, starting this year.  So the effect of the voters' decision was to opt for the federal government to come in and run the marketplace, not the state.

So, again it is a myth to conclude that the voters rejected Obamacare with Proposition E (since of course Obamacare is a 1,000 page law containing many multiple provisions).