You’ve heard of the “fog of war.” Well, now we’ve got the fog of Obamacare. The controversial Affordable Care Act (ACA) has so many moving parts that it’s hard to know how its implementation is proceeding. In 2014, many uninsured are supposed to get coverage either through insurance exchanges, where they can buy subsidized policies if their incomes are less than four times the federal poverty line, or through an expanded Medicaid. The trouble is that 20 or more states may reject the Medicaid expansion, and the exchanges aren’t yet finished. Much is unknown. It’s not just that the ACA’s plumbing is still under construction. Millions of Americans are perplexed.
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