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5 Lessons from Massachusetts About the Obamacare Rollout

Mitt Romney, as governor of Massachusetts, signs the state's health care reform bill into law in April, 2006. Sen. Ted Kennedy (2nd from right) and others look on. (Joe Raedle/Getty Images)

Mitt Romney, as governor of Massachusetts, signs the state’s health care reform bill into law in April, 2006. Sen. Ted Kennedy (2nd from right) and others look on. (Joe Raedle/Getty Images)

By Martha Bebinger, WBUR and Kaiser Health News

A lot of the Affordable Care Act supporters point to Massachusetts as proof that signing up the uninsured is a big, but doable task. Here, in 2013, that’s a reasonable conclusion.

But back in 2007 and 2008 things were a lot messier, and some advocates for universal coverage were worried.

Here’s why:

1) Underestimates of people eligible for subsidies: It looked like the state had, by a lot, underestimated the number of people who would be eligible for free and subsidized coverage. In 2006, the estimate was 140,000. By April 2008, the estimate rose to 225,000, based on early sign-ups. Enrollment plateaued at 177,000 in 2009. Continue reading