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Health Overhaul Enrollment

Health and Human Services Secretary Kathleen Sebelius discusses the federal health care overhaul during a panel discussion at Cincinnati State Technical and Community College, Wednesday, Oct. 16, 2013, in Cincinnati. Administration officials projected nearly 500,000 people would sign up just this month in the new health insurance markets that opened to a cascade of computer problems, according to an internal memo obtained by The Associated Press. If the glitches persist and frustrated consumers give up trying, even that initial goal described as modest in the memo could slip out of reach. (AP Photo/Al Behrman)