The Colorado health exchange van stops at a shopping center in Fort Collins. Eric Whitney for NPR hide caption

itoggle caption Eric Whitney for NPR

Tammy Boudreaux (right) with her partner, Laura Perez. Boudreaux is weighing the cost and benefits of purchasing health insurance. Courtesy of Tammy Boudreaux hide caption

itoggle caption Courtesy of Tammy Boudreaux

Oregon is still using paper applications to enroll people through the Affordable Care Act. iStockphoto hide caption

itoggle caption iStockphoto

Early December brought a foot of fresh powder to the resorts of Vail, Colo., but some residents are still steaming. Zach Mahone, Beaver Creek Resort/AP hide caption

itoggle caption Zach Mahone, Beaver Creek Resort/AP

Doug Normington is 58, self-employed, and has diabetes. Courtesy of Doug Normington hide caption

itoggle caption Courtesy of Doug Normington

Health and Human Services Secretary Kathleen Sebelius' shadow appeared behind the lectern as she spoke about the implementation of the federal health law in Detroit in November. Paul Sancya/AP hide caption

itoggle caption Paul Sancya/AP

After genetic testing revealed a heightened risk for breast cancer, Angelina Jolie had a precautionary double mastectomy. Alastair Grant/AP hide caption

itoggle caption Alastair Grant/AP

Susan Shargel, an insurance broker in San Francisco, says she's seeing health insurance plans offer fewer doctor and hospital options. Pauline Bartolone hide caption

itoggle caption Pauline Bartolone