Those governors are cutting their own throats! If the states do not set up the exchange, the Federal govt will do it for them — the stickier issue is refusing to expand Medicaid as part of the exchange — even though for the 1st 3 years the Federal govt will cover 100% o the cost of the expansion & 90% after that. It’s crazy not to take that deal!!!!!!!! I think eventually all the states will expand Medicaid, but it may take these hard line idealog governors being voted out of office