A group of Republican governors want changes related to the implementation of health insurance exchanges, according to the National Underwriter. In a letter to HHS, 21 governors requested they be given greater sway to set benefit rules, decide which insurers are allowed to sell plans on their exchanges and force residents who would otherwise be covered by Medicaid to buy their own insurance. "We believe the system proposed by the PPACA is seriously flawed, favors dependency over personal responsibility, and will ultimately destroy the private insurance market," the governors wrote. Article