The stage is set. The federal government will have to build a health care exchange that will work for half of the states in the country by October of 2013.

The implementation of ObamaCare assumed that the states would do the work of setting up individual state exchanges to provide a clearinghouse of health insurance information for the public, and provide the mechanism that triggered enforcement of the law against those employers who were accused of violations.

There are just 33 problems. That’s the number of states that have chosen to either not implement a state exchange at all or engage in a hybrid system that leaves many of the problems up to the federal government, as is the case with Illinois, Delaware and North Carolina, or which remain undecided on whether to accept the responsibility for developing the exchange.

Already, 25 states representing 45 percent of the U.S. population have told the Obama administration that they will not be spending the time, energy and effort to build a state exchange, when ultimately the federal government would have to approve virtually every decision that was made. These states have effectively told the Feds that they won’t own the vast array of problems created under ObamaCare when they won’t have the flexibility or ability to fix them.

Here’s the Kaiser map of which states will be doing state, hybrid or federal exchange.

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