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US Capitol Capsule: ACA exchanges biggest 2013 mistake, greatest challenge ahead

This article was originally published in Scrip

Executive Summary

At his second-term inauguration last January, President Barack Obama likely didn't envision spending much of the last part of 2013 apologizing for the disastrous rollout of the healthcare insurance marketplaces, or exchanges – the central component of the Affordable Care Act (ACA) – and at his end-of-the-year press conference on 20 December, the US commander-in-chief found himself again having to confess things had not gone as he had expected.

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