http://www.freedomworks.org/blog/grusbf5/are-state-exchanges-our-last-hope-against-obamacar
If they are right, there may still be a chance of blocking full Obamacare implementation. We need to all understand that large systems, when disrupted in major ways for sustained periods of time, take a VERY long time to return to stable states, even if supported by helpful public policy.
Obamacare will fuck things up, fuck them up badly, and fuck them up for a long time. For every winner there will be four losers. Democrats will talk about the winners, and blame the losers on the Republicans. They will figure out how when the time comes.