“Long before state health insurance exchanges became a centerpiece of President Barack Obama's healthcare reform, they were darlings of think tanks that prescribed market-based solutions to provide medical insurance for the uninsured. The Patient Protection and Affordable Care Act requires states to create exchanges through which small employers can shop for coverage for workers and through which people who need individual insurance plans can shop for them. … It's an open question whether Missouri's Republican-controlled Legislature has the discipline to get a highly functioning exchange in place or if it will be hijacked by an ideological fringe more interested in grandstanding than governing.”
—St. Louis Post-Dispatch