Ashante Thurston, John Riascos and Julieth Riascos talk with Mario Ricart, a private insurance agent, about buying health insurance at a kiosk at the Mall of the Americas in Miami last year. Joe Raedle/Getty Images hide caption

itoggle caption Joe Raedle/Getty Images

Students Amanda McComas, Rose Marie Chute and Sari Schwartz are approached in October at Santa Monica City College in California about signing up for insurance with the Affordable Care Act. Robyn Beck/AFP/Getty Images hide caption

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When Melissa McCann (left) suffered a stroke in 2007, her twin sister, Terry Blanchard, helped her make a full recovery. McCann is now back to work as a flight nurse with Life Flight at the Eastern Maine Medical Center in Bangor. David Wright/Redux Pictures for NPR hide caption

itoggle caption David Wright/Redux Pictures for NPR