Surprisingly, the feds are completely unprepared to open the much-vaunted "health exchanges"; technologically and financially, they have nothing but an empty mandate. Barky and company assumed that states would all create their own exchanges, each of which would report to the feds for authorization and guidance, but to date only around 17 states (all Democrat) have even begun the task.
Cost is part of the problem:
Ohio estimates it will cost $63 million to set up an exchange and $43 million to run annually, based on a KPMG study.
But it's only part of the problem, as over half of Americans are opposed to the law; as a result, many states are passively fighting back by simply "going limp" - in effect, forcing the feds to set up exchanges for them. This is that part of the law where Barky and Nanny Pelosi, having passed it, get to find out what's in it:
ObamaCare gave states the option to let the federal government set up an exchange for them.
Who'd ever have guessed that states might actually take them up on that?