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The launch of the new health insurance marketplaces, called exchanges, on Tuesday will mark a long-anticipated step forward in the effort to reform our health-care system.

Painting the outcome of this and other changes as a result of the Affordable Care Act (ACA) with a broad brush is impossible. But one thing is certain: With millions of Americans uninsured and health-care costs continuing to grow, something needs to change. While the ACA may not be perfect, it's the law. Insurers, doctors, and patients must work together to successfully implement it.

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