Imagine if a state like Mississippi or Oklahoma had to get a system made? They'd hire a guy named Jom Bob from church to do it. They'd piss away the entire budget before they even found Jim Bob. They'd run it on index cards and toilet paper in type writers with no correction ink.
Well to be fair the deep-red state Kentucky had a very successful rollout of Obamacare (rebranded as "Kynect"), including it's own health insurance exchange AND medicaid expansion -- the whole Obamacare enchilada.
Under Obamacare, the federal insurance exchange was never intended to serve the entire country. In fact ideally nobody would have to use it, because states were supposed to set up their own exchanges that would better reflect the needs of their citizens than a federal one would. If you are forced to use the federal exhange, it's because politicians who run your state made that choice for you.
Of course some states have had their own exchange rollout disasters -- including blue states like Maryland and Oregon. If you're experienced with this kind of project you'd expect that. But others have had very successful rollouts, including a handful of red states like Kentucky.