In this the first week when state health exchanges are open for new enrollments, chaos seems to be one of the few consistencies. The New York state health exchange opened for business on October 1 and then promptly posted a note on their website explaining that the exchange had been overwhelmed, was having log-in issues and encouraged those looking for health insurance to ” . . . come back later when these issues are resolved.” The states of Illinois and Missouri will each use the same joint website, www.healthcare.gov for their exchange, Missouri’s is run by the federal government and Illinois’ jointly by the state and federal governments. Efforts to purchase insurance on the site were met with this message: “Please wait. We have a lot of visitors on our site right now and we’re working to make your experience here better.” And this is the new American health care??