As of today 20 states are refusing to set-up the required provisions of Obamacare. What are they thinking? The Fed's will do it for them & only cost them Federal money's. Those states that had started working on healthcare-exchanges as soon as Obamacare passed, have arranged deals much cheaper than the 'one-size-fits-all' Fed plan. Also, by making it so 'all alike' from the start only, paves the way for 'Universal Health Care' down the road. They just made it 20 times easier!.lol!