WASHINGTON (AP) — Republican governors who've balked at creating new private insurance markets under President Barack Obama's health care overhaul may end up getting stuck with the very thing they're trying to avoid.

Unless Mitt Romney wins in November, states that haven't set up the required insurance could find Washington calling the shots on some insurance issues the states traditionally manage, from handling consumer complaints to regulating plans that will serve many citizens.

It could turn into a political debacle for those who dug in to fight what they decry as "Obamacare."

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