An increasing number of "red" states have stood up against the federal government and for their principles of states rights: they've announced their refusal to establish the state insurance exchanges required under the Patient Protection and Affordable Care Act (Obamacare). So, as the Act provides, the federal government will do it for them.
That's right: to defy the feds, these states will, in effect, invite the feds in to supervise directly the operation of their health care systems.
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