If you look past the hooey about states with their own exchanges being some kind of model for success, you see the ubiquitous reach of the federal leviathan

Some of these states, like Kentucky and Washington, have been held up as poster children for FHer-care's effectiveness.  What a lot of blown smoke.

The states are largely using the same contractors, such as CGI, to set up their websites, which means redundant multiple remunerations for the same code.  It's redundant because the federal government is paying for those states' exchanges.  And at what price tag?  Over a billion dollars.

Watch the linked video clip from CBS News (an organization that seems to be emerging from its MEC-induced stupor).  Check out the portion showing the MEC saying that thousands of people who didn't have coverage now do.  What he fails to mention is that that is done with federal tax dollars as well.  These people signed up for Medicaid.