During a January 18, 2012 speech, Jonathan Gruber, one of the architects of Obamacare, was asked about health insurance exchanges. He states:
"In the law it says if the states don't provide them then the federal backstop will. The federal government has been sort of slow in putting out its backstop I think partly because they want to sort of squeeze the states to do it. I think what's important to remember politically about this is if you're a state and you don't set up an exchange that means your citizens don't get their tax credits. But your citizens still pay the taxes that support this bill. So you're essentially saying to your citizens, you're going to pay all the taxes to help all the other states in the country. I hope that that's a blatant enough political reality that states will get their act together and realize there are billions of dollars at stake here in setting up these exchanges and that they'll do it, but you know once again the politics can get ugly around this."
Source: https://www.youtube.com/watch?v=GtnEm...
Used under fair use.