A reasonable question. Beth Lindstro, running for U S Senate in Massachusetts, favors a more individualized approach to picking plans over one size fits all.
I support each state governor having an incentive to help uninsured in his or her state pick plans affordable and acceptable to them over the One Size Fits All Federal approach.
In spite of various sources citing long waits to see a doctor in MA following the passage of “Romneycare”, it was an approach to help the uninsured of the Commonwealth—9% of the state’s population—and wasn’t so burdensome on those with insurance.