A state-created exchange provides a mechanism for Secretary Kathleen Sebelius to impose one-size-fits-all rules on insurance products sold in that state. Can the federal government, big as it is, cope with this task? It could take two or three years to build the technology.
Another way states can throw a roadblock in ObamaCare and also reduce their own spending is by making a second decision not to sign on to ObamaCare's expansion of Medicaid. The Supreme Court decision assured the states of their right to say No to participation in this Medicaid expansion.
ObamaCare is a massive and costly double-barreled entitlement expansion. Overnight, it will add 30 million people to the government's entitlement rolls. The esteemed commentator Thomas Sowell said it best: "It is amazing that people who think we cannot afford to pay for doctors, hospitals, and medication somehow think that we can afford to pay for doctors, hospitals, medication AND a government bureaucracy to administer it." It doesn't make sense.
Listen to the radio commentary here: