“Wow, what can go wrong here?… The federal government is going to build 50 exchanges… the design hasn’t been solidified, and must be accessible to a variety of data processing technologies… Each of the 50 states have different eligibility rules, and with a significant number of states opting out, the federal government now has to learn the intricacies of each state’s Medicaid eligibility models which then scale to different applicability rules for different members of a given family. "The thousands of pages of rules that will drive requirements haven’t been completed,… and those requirements are needed to drive design not...