So by choosing one of the options open to states, and forming individual exchanges, the states are partially responsible for the debacle-in-progress. Further, by choosing another of the options in the ACA, enrollees in Medicaid are creating an imbalance that spells trouble in the future for the private sector insurance companies participation in the ACA. And finally, if too few young healthy people choose to buy insurance, the ACA will result in skyrocketing premiums for those of us who are attempting to keep our current plans/MD's, etc.
Seems like a well-conceived plan to me....