Well, there's still this part:
Douglas, a Republican, had up to a month ago threatened the Democrat-controlled Legislature with a veto if they rejected his demand that the plan be run by private insurers.
"This law preserves the private sector role in providing insurance, it preserves economic security of our state and it makes a strong commitment toward wellness and the management of chronic diseases," he said.
A lot of us are also dealing with private insurers as well, but the bulk of the most basic health services are one-stop, which to me seems obviously more efficient.
Because of the general situation in the States, their private health insurers have proliferated, and from all I've heard, there's an almost Byzantine complication to many of those systems.