It's difficult to say where the public stands on health insurance exchanges. Nebraska attempted to gauge the opinion of its state's residents on the issue through public hearings, but in a letter explaining why the state would opt for a federally run exchange, Governor Dave Heinman wrote that he had heard all sides, and found the issue "polarizing."
Critics, like Haislmaier, say regardless of whether HHS uses marketplace or exchange, it won't change the opinion of detractors.
"I don't think it's going to have much effect, and I don't think it's going to stick. If you go to their website, they're still calling them affordable insurance exchanges," he says.
"There's a large swath of the public who's rightfully distrustful of the whole structure of it, and this is one of the more visible pieces of the structure of the legislation."