Starting Jan. 1, central provisions of the Affordable Care Act kicked
in, allowing many uninsured Americans to afford health insurance. But
the landmark law still faces heavy opposition from Republicans and from a
public that remains skeptical the law can improve health care coverage
while lowering its cost.
The law has already altered the health care industry and established a
number of consumer benefits. It has sweeping ramifications for
consumers, state officials, employers and health care providers,
including hospitals and doctors.
However, healthcare.gov, the federal website that is managing
enrollment in 36 states, has been plagued by electronic problems that
botched the Oct. 1 rollout of the health law’s online marketplaces, or
exchanges. The problems frustrated potential enrollees and gave
Republicans new fodder for their argument that the law was doomed to
fail. After hundreds of hardware and software fixes, federal officials
have said that the site works for the “vast majority of users,” but some
problems remain.
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