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"[H]owever you do the math, the result is clear: the federal government will be involved in at least half of the new insurance exchanges come next October.... [T]he federal government's outsized role comes because many conservative governors -- who are strong supporters of states' rights -- said no to running state-based insurance exchanges.... [S]ome states are sitting out because of protest against the ACA, while others are concerned that the exchanges represent an unfunded mandate."
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