States with Republican governors kept up the pressure last week on Washington to give the states greater control over wellness care under the Patient Protection and Inexpensive Care Act (PPACA). Twenty-1 Republican governors sent a letter to Wellness and Human Services (HHS) Secretary Kathleen Sebelius asking for greater authority over some provisions of well being reform, which includes the capacity to define “essential” health rewards and set minimum criteria for participating in insurance exchanges. They threatened not to run their own state-based exchanges if HHS does not act on their requests. Sebelius speedily responded with her own letter in which she reviewed the numerous choices states have to decrease costs…