The exchanges don't have anything to do with Medicaid moron. And since when haven't insurance policies had co-pays moron? The difference with the ACA is that preventative care or "wellness visits" have no co-pays.<quoted text>
When those in the ObamaKKKare exchanges show up at the doctor's office and don't pay the $45 copay, they will be politely turned away.
You're an idiot Galt!