Today’s economic realities—combined with elements of the Patient Protection and Affordable Care Act that are about to come on line—have brokers of all sizes and stripes scrambling for answers. Most remain understandably pessimistic, viewing the looming changes as nothing short of an existential threat.

In fact, it wasn’t that long ago in this magazine that this is what passed for optimism: “Health care exchanges could completely replace me,” said a benefits broker from Georgia, “but then again, they may not!”

From large brokers to small group and individual agents, perspectives on the looming challenges vary widely; but they all share one fundamental characteristic: uncertainty.

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