The online insurance marketplace in Oregon is such a technological mess that residents have been signing up for health coverage by hand. In Texas, political opposition to President Obama's health law is so strong that some residents believe, erroneously, that the program is banned in their state. But in Connecticut, a smoothly functioning website, run by competent managers, has successfully enrolled so many patients that officials are offering to sell their expertise to states like Maryland, which is struggling to sign people up for coverage. The disparities reveal a stark truth about the Affordable Care Act.
