Six years after passage of President Obama’s landmark health insurance law, it continues to face significant political, legal and economic challenges. The Patient Protection and Affordable Care Act (ACA) — dubbed “Obamacare” — has cut the rate of uninsured Americans and started improving the quality of care, studies show, but several health insurers have said providing coverage has been costlier than expected. One prominent insurer is pulling out of most of the health insurance marketplaces in 2017 because it says it is losing money. While some consumers are satisfied with their plans, a rising number are complaining that their insurance costs too much.

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