 obama s state healthcare exchange refusal problem obamacare faces major logistical and financial challenges in creating health insurance exchanges for states that have declined to set up their own systems the exchanges were planned on being the centerpiece of obamacare and were intended to make buying health insurance easy and affordable to date sixteen states have said they will not set up their own systems forcing the federal government to come up with one instead for an article on why obamacare may have major problems to deal with the implementation click on the following story link  http thehillcom blogs healthwatch healthreformimplementation 269137obamafaceshugechallengeinsettinguphealthexch 19 nullification now  nullification now  