The program was therefore formally launched on October 1. Although it has been hampered by a wide range of computer problems and other technical difficulties, the program is likely to be operating by sometime in 2014.
奥巴马医改的反对者没能在法院阻止它，最近在国会再次受挫。奥巴马医改也因此在10月1日正式发布。尽管各种电脑问题和其他技术困难重重，但该计划仍将在2014年开始运行。