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Obamacare isn’t a national story: Column
USA Today

If you try to understand Obamacare, you’re guaranteed to get a nation-sized headache. (I tried, and I did.) Federal and state government officials have a mess on their hands, and nearly every statement you can make about it comes with 17 qualifications. But here’s some health advice for Americans: take two aspirin — and stop thinking of Obamacare as a national story.

The Affordable Care Act created a lot of new health insurance marketplaces, and the secret is that they’re not really federal or state entities. They’re regional.