WASHINGTON (AP) — It sounded so simple. Too simple, it turns out.

President Barack Obama's early efforts to boil down an intricate health care law so Americans could understand it are coming back to haunt him, leaving a trail of caveats and provisos in place of the pithy claims he once used to sell the law.

In the summer of 2009, Obama laid out his health care agenda in a 55 minute speech to the American Medical Association. It was, his former speech writer Jon Favreau recalls, "one of the longest speeches he ever gave."

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