True. And sadly, Republican governors can be voted out of office and replaced with compliant Democrats.
“If the state doesn’t implement an exchange the Feds will come in and do it for them...a point missed by a lot of folks...”
So? Zero will have to get the house to appropriate the money to run the federal exchanges. And why should the States carry Zero’s water for him?
Actually, the strongest reason is . . . PORK. States are able to get $100,000,000 to $200,000,000 from the feds to study the problem, plan the exchange, and implement it. That creates huge opportunities for state lawmakers to dispense money to favored constituents. Colorado has already designed a system where the AVERAGE salary of exchange employees will be north of $150,000.
If the State implements an exchange, the Feds still run it but the State pays for it. THAT is a point missed too often.
By not implementing an exchange, a State is saved the cost - and there is no loss of control of anything.