The reason these Health Exchanges are not accompanied with Federal dollars, is because of the hated tea party.
The original plan was to just raise the income tax to let the hapless tax payers foot the bill for this grand plan to take over health insurance.
Our progressive, elected Congress members, were sure they would have complete control for years to come.
The tea party destroyed that plan, winning the House and the pocket book, in 2010.
Their great achievement of Obamacare, not really a policy, they could fill the details as needed as they go along.
This new plan for the health exchange to control the citizens care, is a big disappointment to Washington now, some of it’s subjects will escape.