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It will now become nearly impossible to assign responsibility for that dysfunction exclusively to one party or the other, as both the original design of Obamacare and the changes enacted legislatively and administratively over the past year play a role. So as we look out on the health-care landscape during this lull in the political debate, a few overall trends seem most pertinent. Measures vary some, but it appears that just under 90 percent of Americans under age 65 now have health-insurance coverage, while just under 84 percent did before Obamacare was enacted. Most of this additional coverage has come through the expansion of Medicaid. The individual market has actually been contracting lately. It shrank by nearly 15 percent in alone and preliminary numbers suggest the decline continued. Employer-based insurance has contracted some as well: There were 3 Thomas W

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