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richieds: Please, no one here really believes that a single one of these GOP governors is just waiting for more guidance. This is about politics, pure and simple. There was no way that any of them hadn't made up their minds the second the law was enacted.

As for the exchanges, doesn't matter one bit who runs it. If the states want to give up their control to the federal government, then so be it.
Makes no difference at all to the law. The danger is if these exchanges work, then those states and the GOP look like idiots as they try to scramble back in.

Guess it's just like the economy these days...the GOP is left rooting for the worst to keep from becoming irrelevant.

It's going to be fairly simple for the federal government to set up the exchanges. They already have a framework with the federal workforce. I think the hard part will be getting people to sign up. Many of the low income or poverty people may not have any idea when or how to sign up, nor have access to reliable computer service. Will they sign people up at health clinics? I thought more health clinics were part of the ACA, but I haven't heard much about that.
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