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March 1, 2014, 8:11 am

MOUNT VERNON — Ohio was one of 27 states that did not set up a health insurance exchange when it came time to prepare for the Affordable Care Act. There were six more that formed a partnership with the federal government.

There were many different reasons the states gave for not setting up an individual exchange and letting the federal government be responsible for one. Those included financial, flexibility and just plain politics. Ohio was one of 24 states led by a Republican governor that didn’t want any part of setting up its own exchange.

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