Health and Human Services Secretary Kathleen Sebelius discusses the federal health care overhaul during a panel discussion at Cincinnati State Technical and Community College on Wednesday, Oct. 16, 2013, in Cincinnati. For the first month alone, the Obama administration projected that nearly a half-million people world sign up for the new health insurance markets, according to an internal memo obtained by The Associated Press. But that was before the markets opened to a cascade of computer problems. (AP Photo/Al Behrman)
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