Today, Governor Walker wrote to Secretary of Health and Human Services indicating that Wisconsin would not set up a state based health insurance exchange. You can see his letter here .  In his explanation available here , he cited four main reasons to for his decision:  (1) that the long-term risk to Wisconsin taxpayers is too high; (2) that no matter who sets up and administers the exchange, the federal government makes all the decisions and the final product is the same; (3) that the federal government’s demonstrated lake of cooperation and detail increases the burden and risk to our state; and, (4) PPACA does not allow for a uniquely Wisconsin option.   Listen to VCY America online! Go to http://www.vcyamerica.org