So. Size doesn't matter. If the system works, it works.<quoted text>
The size of Massachusetts as well as the number of its citizens compared to the size of the U.S. and the number of the population in the entire nation...and insuring only 8% of the state of Massachusett compared to the number of the uninsured in the U.S. is proof enough you still don't get it.
The exchanges go state to state, each state has its own under the federal guidelines.
You can't be for Romneycare & against Obamacare without being a "severe hypocrite.