Some GOP governors are refusing to set up their states' healthcare exchanges. Aaron Carroll thinks they will come to regret this:
[R]efusing to prepare the exchanges is a real risk. It’s unlikely the law will be repealed soon. Should it not be found unconstitutional and thrown out entirely, the exchanges will still stand. The PPACA clearly says that if a state doesn’t have an exchange, then the federal government will create and run one for it. It’s going to take some time to set one up, and if 2014 rolls around and states don’t have an exchange ready, then it will be the feds, not locals, who will dictate terms.
The Dish 