As the new system sinks under it’s own weight..Obama will be looking to save it with a single payer system. Count on it.
Bingo! And at least 47% of the people want single payer.
Yep. That's the endgame, here.
While my first inclination is: "Yeah! Stick it to the Fed!", that's really the wrong take on this entire thing. In truth, though, a state-run exchange is merely feeding the alligator in hopes that it will eat you last.
I think, at this point, about the only possible decent outcome is for the whole unwieldy plan to fall on itself before it gets implemented. That, or for it to be so ungainly and utterly unimplementable, that it largely gets ignored.