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Not long after the U.S. Supreme Court upheld the Affordable Care Act, Gov. Rick Perry said Texas would not implement its key provisions, such as the establishment of a health insurance exchange. The exchange will provide private insurance options for families and small businesses. Yet if Perry -- and a handful of other Republican governors who agree with him -- don"t create the exchanges, "they will bring about precisely what they oppose: a federal takeover of a major part of their states" insurance systems," writes Elena Marks, Baker Institute Scholar in Health Policy, in a recent op-ed for Bloomberg news. "The federal government will come in and build an exchange for them, one that will be extremely difficult to tailor to local needs."

Read Marks" Aug. 20, 2012, Bloomberg op-ed, "Republican governors should want homemade exchanges," to learn why Texans stand to lose if the state does not build its own health insurance exchange.