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Early ChangesHealth Care Reform's First Ups, Downs

Some aspects of the Patient Protection and Affordable Care Act of 2010 started like a stumble-rama. For example:

  • The new health care law in 2010 created temporary insurance exchanges. These exchanges were established nationwide to sell policies to people with pre-existing conditions who were having difficulty getting coverage from private insurers. A government actuary predicted 375,000 enrollees would pour into the exchanges by the end of the year. Only 12,000 people enrolled. Officials blamed lack of awareness, and rates that were too high.
  • Another early element of the law prohibited health insurance companies from turning away children with pre-existing medical ...

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