The Affordable Care Act puts states in the driver's seat because they often understand their health needs better than anyone else - and that is why it is so frustrating to hear opponents of reform falsely attack the law as "nationalized health care."
The truth is that states aren't just participating in implementation of the law; they're leading it.
Consider the state-based health insurance marketplaces that will be created under the law in 2014. These marketplaces, called exchanges, will
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