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There might be reasons not to expand to healthcare exchanges. Government tends to only pay to set something up, they don't pay to run it.
Not sure if that's the case here, but that's the usual scenario.
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http://maddowblog.msnbc.com/_news/2013/03/14/17315099-it-is-good-politics-to-oppose-the-black-guy-in-the-white-house
So, screw your constituents, screw what's best for the people in your state or the country, screw doing what the people want, screw even you own idea of what works and doesn't, just blindly oppose everything that comes from the Obama administration.
Yeah, that tactic won't result in people thinking your sabotaging the country.
#politics