There is growing concern that a problematic implementation of the Affordable Care Act will hurt Democrats in 2014. In response, some on the left, like Jonathan Cohn, have pointed to Medicare Part D as an example why such concerns are overblown. They argue while the implementation of the drug benefit program was rocky, it was not a big political issue in the next election and quickly became popular.
There is one very important difference between Part D and the ACA that makes this a poor analogy.


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