Rather than joining Obamacare, Gov. Gary Herbert has decided that Utah will use Avenue H, the state's health care exchange. He says the exchange is a good model for delivering health insurance. I strongly disagree.
Avenue H was fraught with internal problems. The exchange had such a poor reputation that the state had to seek help from consultants to re-brand it with a new name to erase perceptions of inefficiencies.
The exchange is currently only a marketplace for small-business owners. Less than 1 percent of small-business owners use the exchange.