I still hope that they can rescue the Federal Health Exchange. It would change a lot compared to State Exchanges.

• State Health Exchanges like the Massachusetts Health Connector above would handicap new health insurance companies. New health insurance companies usually are unkown. They would be chained to a State Exchange with little chance to break out to other state exchanges while established insurance companies would have the money and possibility
• In contrast, a new health insurance company who is listed in a single Federal Health Exchange could get attention from potential customers across the whole country. This also means that we would have a much greater choice through a Federal exchange than through 50 state exchanges, not to mention that it would cost millions to run 50 state exchanges compared to a single Federal Exchange.

We would benefit from new, more honest and more efficient competitors. I also think that this would get rid off this feeling that we are forced to buy insurance from the ones that used to abuse us.