The Hill 
April 9, 2013
Health and Human Services Secretary Kathleen Sebelius said Monday that she did not anticipate how complicated implementing the president’s signature healthcare law would be.
“The politics has been relentless and that continues,” Sebelius said, according to Reuters. “There was some hope that once the Supreme Court ruled in July and then once an election occurred there would be a sense that, ‘This is the law of the land, let’s get on board, let’s make this work.’ And yet we will find ourselves having state by state political battles.”
Speaking to students at the Harvard School of Public Health, Sebelius said implementation had been hampered both by the law’s slow roll out and red-state governors and legislators who have rejected state-run insurance exchanges.
“It is very difficult when people live in a state where there is a daily declaration, ‘We will not participate in the law,’ for them to figure out whether they are going to benefit,” Sebelius said.