Cris and Valerie Fiore hold one of their favorite pictures of their sons Anthony (with the dark hair) and Nick. Anthony died from a heroin overdose in May 2014 at the age of 24. Cris Fiore's eulogy described his son's death as a shock, but "not a surprise." Anthony had been addicted to heroin for years. Ben Allen/WITF hide caption

itoggle caption Ben Allen/WITF

Brenda Hummel and her 7-year-old daughter Andrea in their home near Des Moines, Iowa. Andrea was born with severe epilepsy and gets her health care through Medicaid. Clay Masters/Iowa Public Radio hide caption

itoggle caption Clay Masters/Iowa Public Radio

PCORI Executive Director Joe Selby says grants to medical societies are needed to get through to busy professionals who "may not answer our phone calls." Stephen Elliot/Courtesy of PCORI hide caption

itoggle caption Stephen Elliot/Courtesy of PCORI

Enrollment counselor Vue Yang (left) reviews health insurance options for Laura San Nicolas (center), accompanied by her daughter, Geena, 17, at Sacramento Covered in Sacramento, Calif., in February. Rich Pedroncelli/AP hide caption

itoggle caption Rich Pedroncelli/AP

At sign-up events like this one in Los Angeles in 2013, Covered California pledged "affordability" in health insurance as one of its main selling points. Lucy Nicholson/Reuters/Landov hide caption

itoggle caption Lucy Nicholson/Reuters/Landov

The IRS released preliminary figures that show about three-quarters of taxpayers indicated they had qualifying health insurance in 2014. Carolyn Kaster/AP hide caption

itoggle caption Carolyn Kaster/AP

Steve Heller has worked for Minnesota's John Henry Foster company for 15 years. He says he likes the greater choice of health plans he now has because of the private exchange. Mark Zdechlik/MPR hide caption

itoggle caption Mark Zdechlik/MPR

Dr. Annelys Hernandez (left) checks out Cynthia Louis (right) in Florida International University's Mobile Health Center in Miami on March 3, 2015. Courtesy of WLRN/Peter Andrew Bosch/Miami Herald hide caption

itoggle caption Courtesy of WLRN/Peter Andrew Bosch/Miami Herald

An American flag flies over the U.S. Supreme Court June 29, 2015 in Washington, D.C. This past term, the liberal position won in 19 of the 26 closely-divided ideological cases and eight out of 10 of the most important ones. Mark Wilson/Getty Images hide caption

itoggle caption Mark Wilson/Getty Images

President Obama and Vice President Biden shake hands after the president spoke in the White House's Rose Garden Thursday about the Supreme Court decision in favor of Obamacare. Carolyn Kaster/AP hide caption

itoggle caption Carolyn Kaster/AP

President Obama delivers remarks in the Rose Garden after the U.S. Supreme Court's 6-3 ruling to uphold the nationwide availability of tax subsidies that are crucial to the implementation of the Affordable Care Act. Gary Cameron/Reuters/Landov hide caption

itoggle caption Gary Cameron/Reuters/Landov

Supporters of the Affordable Care Act cheer outside the Supreme Court in Washington, D.C., after a majority on the court ruled that Obamacare tax credits can continue to go to residents of any state. Mark Wilson/Getty Images hide caption

itoggle caption Mark Wilson/Getty Images