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 the law comes with 17 qualifications. But here’s some health advice for Californians: 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.