. >> president obama's former advisor david pluth made a bold expansion. >> it's a fact. it may take until 2017, almost every state in the country will run their own exchanges and expand medicaid. i think it the work well. >> is that right, states like kentucky, where they work great. mississippi next door has few sign ups and prices are different. in kentucky, they are lower than mississippi. with politics push other states to say we have to get on board and set up exchanges to help the constituents, whether they'll demand it. >> i don't think a state or govern nor listens to david pluth. he's good at the politics. he's saying states like kentucky, where a governor says we'll have a state-based exchange not just through the federal and we have success, it will make it difficult for some states where some said, "no, we are not going to be part of a state-based exchange, we'll stay on the federal. as soon as you have your constituents and residents and state doing that, it will be give for you to say, "no, no, we'll be more expensive and not give you as good a product as n