In new york state, it's all go. Two weeks before launch a call centre in Albany, the capital, buzzed with workers answering questions on Obamacare. An instructor in an adjacent room trained new employees in the strange language of health-care acronyms (hipaa, aca, phi, iap and so on). New York, led by a Democratic governor, Andrew Cuomo, has implemented the president's health-care plan with gusto. In preparation for the opening of the state's new insurance exchange on October 1st, two dozen trainee "navigators"-that is, people who will help New Yorkers buy insurance on the exchange-were given a test question. Mrs Smith has 17-year-old twins named John and Mike, and a stepdaughter called Jeanine. Jennifer, her daughter, is an athlete who often injures her ankle. Mike goes to a specialist four times a year. Mrs Smith works full-time at Stars Grocery, making $2,350 a month.
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