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[quote=jsteele][quote=Anonymous]I know several families who currently have health insurance, they're self-insured, and who will save money under ACA because of their states' ACA offerings. (NJ, PA, MI). That's great, but it doesn't address the uninsured issue, does it?

Also, why did it take FOUR YEARS for this to come together? The President signed this into law in March 2010.

The whole thing, from the delays and the website that doesn't work to the Tea Party lunatics, is just so dispiriting.
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As has been pointed out several times in this thread, the ACA helps with the uninsured through at least four ways:

1) expanded Medicaid coverage;
2) allowing children to stay on their parents' plans until age 26;
3) eliminating pre-existing conditions as a reason to deny coverage; and
4) providing subsidies to the poor to make insurance affordable.

Part of the problem with the Federal exchanges is that some states waited until the last minute to inform the government that they would rely on a federal exchange. Collecting requirements is normally the first step of a software development project. In this case, requirements were continually changing. This led to a shortened development cycle that did not allow for extensive testing. I assume that a thorough post-mortum will identify a number of other problems as well -- some of them likely inexcusable -- so I am not trying to suggest there aren't real problems. But, any major software project is difficult and -- as I've been posting in the political forum -- fairly common in the private sector as well. It's pretty clear that the state exchanges are doing a whole lot better. While even most of those launched with bugs, most are now working well. 
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