A count by The Associated Press shows that many consumers returned to the program despite its problems. Aside from the political turmoil, those difficulties include a spike in premiums, rising deductibles and dwindling choice of insurers.
Although initial enrollment is about 4 percent lower than last year, the sizable number of sign-ups illustrates the risk Republicans face as they begin moving to dismantle the Affordable Care Act and put in its place a yet-to-be-defined conservative approach.
"If they are going to replace it, it had better be as good or better than what is there, and if it's not I think it's going to cost them," said John Chipman, a drummer from Austin, Texas, who's also covering his wife and their two children.
This year the family scaled back from a "silver" plan to "bronze" to avoid a big premium increase. But without the health law, Chipman says he and his wife would probably be turned down for health insurance because of pre-existing medical conditions.
AP checked with the remaining 11 states, and Washington, D.C., and found an additional 3 million enrolled, for a national total of 12.2 million. A full national report from the government won't be available for at least another month.
Under the health care law, the nation's uninsured rate has fallen to a historic low of about 9 percent, with some 20 million people gaining coverage since its passage in 2010. In addition to the subsidized private plans available through HealthCare.Gov and state marketplaces, the law offers states the option of extending Medicaid to cover more low-income adults.
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