That's What Executive Orders Were Made For

Still don't really see this is an unavoidable problem. Just sign a statement directing the Secretary of HHS to release the necessary funds, set up the exchanges, boom, it's done. You don't need to physically be in Iowa, or Wisconsin, or Florida or wherever to create the exchanges---some tech dweeb in the District could do it from his laptop so long as he's got firewall access and so forth. Money's not there? Just tell the Treasury to print up some more. Okay, so maybe it's not so simple as all that, but the only way I see this becoming a bonafide "problem" next year is if (a) the Serious Persons manage to convince the President that enforcing a constitutionally sound law would be needlessly partisan and shrill, or (b) Republicans win control of the White House, in which case you ca forget about the expansion since Medicaid is going to be fucked in general. So let's not lose the election, okay?

---Vitelius