April 18 (Bloomberg) — With more than 8 million Americans now dependent on medical coverage through Obamacare, the law may finally be cemented into the foundation of society.

The response easily beat a Congressional Budget Office prediction of 6 million, and the agency says it expects at least 7 million more people will enroll in private plans after the sign-up period for 2015 opens in November.

Between now and then, politicians will try to make the law's effects on consumers a key issue in the November congressional elections. Foes say the law makes insurance too expensive, opens enrollees to high out-of-pocket costs and limits medical choices. Backers say expanded access to care for all Americans and substantial cost reductions for lower-income people outweigh any disruptions in previous coverage.

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