So far four states have spent $474 mil­lion on state health­care exchanges that are con­sid­ered to be in sham­bles and so the final price tag for sav­ing them may go even high­er. The fed­er­al gov­ern­ment must now decide whether to throw more mon­ey at them or let them fail. These exchanges are in Mass­a­chu­setts, Ore­gon, Neva­da and Mary­land. That leaves 9, but Wash­ing­ton has many iden­ti­fied flaws and the head of the Hawaii exchange is call­ing on the state to shut it down. So we are at a 50% poten­tial fail­ure rate? Accord­ing to the Los Ange­les Times, fed­er­al pros­e­cu­tors in Ore­gon have “issued sub­poe­nas to Oregon’s health insur­ance exchange as part of a grand jury inves­ti­ga­tion into the spec­tac­u­lar fail­ure of the state’s sys­tem, which was nev­er able to enroll con­sumers online even though it spent more than $248 mil­lion in tax­pay­er mon­ey on the operation”