The Affordable Care Act, commonly referred to as ObamaCare, permits states to establish health insurance exchanges. These exchanges will operate as new bureaucracies to oversee the purchase of government-approved health insurance. States electing to create these exchanges must comply with federal rules that will dictate virtually all aspects of the exchanges’ operations. If Illinois chooses to establish an exchange, the state will bear the full cost of running it. Illinois simply cannot afford to pay for this new, complex and burdensome bureaucracy. State officials estimate the exchange could cost Illinois upwards of $90 million per year. Worse yet, by moving forward with implementation Illinois could risk wasting valuable time and taxpayer money on a new bureaucracy that the Supreme Court ultimately strikes down or the federal government refuses to approve. While a number of people are urging the state to immediately create an ObamaCare exchange, the reasons are based on myths, not facts.