using the chaos of the medical in britain due to their computers  ...what do you think 50 states, all with their own plan, trying to coordinate their software to all new data entry, working out bugs, will go? anyone go through peace healths year long process of getting their new system up and running properly? now think of every doctors office, pharmacy, hospital, clinic, SSA who would have to be the clearing house for this hot mess.  not to mention the emergency room of every hospital will become a packed zoo.  all the new paperwork. the absolute enomity of it is astounding., the ripple effect - well known - how could they ignore that? 
 this is the plain stupidest move yet. we will be in chaos within days - and from chaos comes anarchy, civil wars - not north and south..the haves and have nots. that's the model historically, time after time. you rock the little peoples world and they push back. NYC went completely black, within hours -  lawlessness in the low income areas...