I have never understood why those opposed to the ACA think it is better for the Feds to come in an run the exchange vs. having control over it at the state level:
http://www.washingtonpost.com/blogs/virginia-politics/post/health-insurance-bill-would-keep-feds-at-bay-va-democrats-say/2012/01/10/gIQAHmPmoP_blog.html
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