My two step solution: Recall and de-bar Traitor John Roberts of THE NINE SUPREMES.
Not going to happen of course
Then again, anyone who thinks government run exchanges with politicians and bureaucrats making the rules is “free market” needs remedial studies
Does the phrase "overwhelm the system" ring any bells?
To some degree, that is already done with Medicare Plan D for medications. For the first time, I had to participate in this to get help on an expensive medication, and found out that the participant can select the insurance provider, as well as the pharmacy, local or mail-in. This has put pharmaceuticals and insurances on a competitive basis for the Plan D portion. The insurance cost is dependent on the particular medication costs, and can be taken out of the Social Security check.
Many states are not opening exchanges. The states that are are mostly leftist and are not going to do anys such thing as those suggested.