Yay---a bit more federalism:

Last year’s health-care reform law already allows states to propose their own frameworks for care, beginning in 2017. Obama, in a speech to the National Governors Association, said that he would support changing the law to allow that to happen three years earlier, in 2014

The devil is still in the details, of course. I want to know, will states be able to "deregulate the new health care exchanges, so that high-deductible, catastrophic coverage can be purchased as easily as comprehensive plans"? The case (A) for subsidizing the poor's health care and the case (B) for subsidizing insurance for the middle class against catastrophic medical costs are each much stronger than the case (C) for subsidizing the routine health care costs of the middle class.