Clela Rorex (right) tells her friend Sue Larson that she doesn't regret her decision to grant the controversial marriage licenses. StoryCorps hide caption

itoggle caption StoryCorps

Patty Fontneau, executive director and CEO, of Connect for Health Colorado, acknowledged there were problems with the exchange when it opened. Eric Whitney for NPR hide caption

itoggle caption Eric Whitney for NPR

Some states are trying to make health care prices available to the public by collecting receipts from those who pay the bills: Medicare, Medicaid and private insurers. Some states' efforts to make these prices available are in jeopardy. iStockphoto hide caption

itoggle caption iStockphoto

Michael Sawyer, the latest doctor in his family, holds a portrait of his grandfather Dr. Ken Sawyer, while his father Robert, a surgeon, looks on. Barry Gutierrez for NPR hide caption

itoggle caption Barry Gutierrez for NPR

Peter Lee, executive director of Covered California, unveils a marketing campaign for the exchange in Los Angeles late last year. Nick Ut/AP hide caption

itoggle caption Nick Ut/AP

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

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

This controversial ad riffing off the legendary "got milk?" campaign is one of several marketing health insurance to young people in Colorado. Thanks Obamacare campaign hide caption

itoggle caption Thanks Obamacare campaign

Click right this way for Medicaid. Connect for Health hide caption

itoggle caption Connect for Health

Lela Petersen, owner of the Anything And Everything store in Flagler, Colo., expects the cost of health insurance for her and her husband to drop by my more than half next year. Jeff Brady hide caption

itoggle caption Jeff Brady

New York Mayor Michael Bloomberg speaks during a press conference in London in September. Matt Dunham/AP hide caption

itoggle caption Matt Dunham/AP

Fed up with what they see as a lack of representation at the California Capitol and overregulation, supervisors in the far Northern California county of Siskiyou, which includes Yreka, have voted in favor of secession. Jeff Chiu/AP hide caption

itoggle caption Jeff Chiu/AP

Colorado has taken its own route to building a health exchange. iStockphoto.com hide caption

itoggle caption iStockphoto.com