True or False: Texas quickly established its own health care exchange after the Affordable Care Act due to having the highest percentage of uninsured people.

The assertion that Texas quickly established its own health care exchange after the Affordable Care Act (ACA) is false. Following the ACA's implementation, states had the option to create their own health care exchanges or to use the federal marketplace. Texas, however, chose not to establish its own exchange and instead opted to utilize the federal system, known as Healthcare.gov.

This decision was influenced by various factors, including political opposition to the ACA and a consensus among state leadership at the time. Texas has historically had a significant percentage of uninsured individuals, but this did not translate into a swift establishment of a state-based health care exchange. In fact, Texas has one of the highest uninsured rates in the nation, yet its decision against creating its own exchange reflects broader political and fiscal considerations. Thus, the correct response is based on the state's actions rather than its health statistics alone.