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Health-care reform: Promises, promises

A CRUCIAL piece of Barack Obama’s health reforms will be in place in less than six months. That, at least, is the plan. New exchanges for buying insurance must be open on October 1st. Democrats intended the exchanges to be jostling markets, run by the 50 states, where individuals could shop for insurance. The White House insists that the deadline will be met and the exchanges will be a success. But many of Mr Obama’s allies are less sure.Obamacare’s implementation has always been torturous. Recent weeks have been particularly tough for the law’s proponents. A fierce debate over insurance premiums, as well as problems with the exchanges for individuals and small businesses, have highlighted an ever more obvious reality. The health-care law, in practice, will look rather different from what Democrats promised.March brought bad news for the insurance exchanges for small businesses. The law stipulated that small firms could provide their workers with a choice of several insurance plans available on special exchanges. For small companies (and the politicians representing them in Congress) the so-called SHOP exchanges were one of Obamacare’s more attractive features. The…

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