‘‘I'm thrilled that the United States is finally catching up with some of the other countries in the world that provide health care,’’ she said. ‘‘And I'm very grateful for the timing ... at a time that my need is so great.’’
A handful of states, meanwhile, have quietly made moves to help residents use the exchanges, even as GOP politicians reaffirm their opposition to the overall law.
Like in South Carolina, the state insurance office in Louisiana also has staff willing to answer questions. State government officials in Wisconsin sent letters to about 92,000 people expected to lose Medicaid government insurance at the end of the year, directing them to the exchanges.
And in other states, community groups and insurance companies have tried to step in where state leaders left a vacuum.
Atlanta’s Grady Health System, which runs the metro area’s safety net hospital and clinics, hosted a fair to explain how the exchanges work.
In Miami’s Little Haiti neighborhood, the leader of a local community center planned to spend the day talking on Haitian Creole radio stations to share information, particularly for residents who don’t speak English. ‘‘This is not a population with a lot of experience buying insurance,’’ said Gepsie Metellus, executive director of the Sant La community center.
The neighborhood is in the heart of Democratic territory in south Florida, but the state government in Tallahassee is ruled by Republican Gov. Rick Scott and GOP supermajorities in the legislature.
Blue Cross/Blue Shield of Oklahoma, which is selling policies in that state exchange, scheduled a public session in Oklahoma City to answer questions. By mid-morning, no consumers had shown up.
Follow Barrow on Twitter @BillBarrrowAP.
Contributing to this report were Associated Press writers Seanna Adcox in Columbia, S.C.; Emery Dalesio in Raleigh, N.C.; James MacPherson in Bismarck, N.D.; Sean Murphy in Oklahoma City; Erik Schelzig in Nashville, Tenn.; Chris Tomlinson in Houston; and Paul J. Weber in Austin, Texas.