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On October 1, 2013, the 'Affordable' Care Act opened for business. What played out over the ensuing months will go down as one of the most catastrophic Washington failures in US history. The program's buggy, broken website crashed repeatedly. Obamacare's under-vetted navigators turned customers away in droves. Consumers were sent to nonexistent brick-and-mortar enrollment locations. Millions of Americans' existing plans have been canceled, as required by the law's new coverage mandates (with millions more in the pipeline). Costs, both in terms of premiums and out-of-pocket expenses, have soared for many. Major pieces of the law have since been unilaterally altered and delayed, while multiple states have abandoned their proprietary exchanges, flushing away hundreds of millions in taxpayer dollars in the process. In spite of the administration's triumphal spin, enrollment figures have fallen far short of expectations, with risk pools looking older and sicker than projected. The nation's healthcare tab is still growing. Access to preferred doctors and hospitals has been curtailed. And Healthcare.gov, dogged by data security concerns, remains under construction and won't be fully functional for November's second open enrollment period.