In New York state, it's all go. Two weeks before launch a call center in Albany, the capital, buzzed with workers answering questions on Obamacare. An instructor in an adjacent room trained new employees in the strange language of health-care acronyms (HIPAA, ACA, PHI, IAP and so on). New York, led by a Democratic governor, Andrew Cuomo, has implemented the president's health-care plan with gusto. In preparation for the opening of the state's new insurance exchange on October 1st, two dozen trainee "navigators"—that is, people who will help New Yorkers buy insurance on the exchange—were given a test question.