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Citation

Oberlander, Jonathan & Perreira, Krista M. (2013). Implementing Obamacare in a Red State — Dispatch from North Carolina. New England Journal of Medicine, 369(26), 2469-2471.

Abstract

Serious problems have plagued the much-anticipated rollout of the health insurance exchanges created under the Affordable Care Act (ACA). Many Americans have been unable to sign up for insurance because of difficulties with the online marketplaces, and insurers are often receiving inaccurate information from the government about people who do manage to enroll. If such problems persist, they could deter relatively healthy persons from obtaining coverage and prevent the ACA from meeting its enrollment goals. Problems with the federal website will probably recede over time; indeed, its accessibility to consumers is already improving. The greatest long-term challenge to Obamacare remains political rather than technical. Nearly 4 years after enactment of the ACA, the fight over health care reform rages on, a reality underscored by Republican efforts to defund Obamacare during recent congressional debates about raising the debt ceiling and shutting down the federal government.

URL

http://dx.doi.org/10.1056/NEJMp1314861

Reference Type

Journal Article

Year Published

2013

Journal Title

New England Journal of Medicine

Author(s)

Oberlander, Jonathan
Perreira, Krista M.

ORCiD

Perreira - 0000-0003-2906-0261