The December surge provides a boost to President Barack Obama, whose fumbling of the October rollout of the insurance exchanges initially thwarted the high participation needed to spread the costs of his health-care expansion. The Patient Protection and Affordable Care Act is supposed to offer private coverage to as many as 7 million people by the end of March.
"The new law is transformational for our entire health- care system and for millions of Americans who finally have health security," Kathleen Sebelius, the U.S. health secretary, told reporters on a conference call.
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