coverage, perhaps excellent health coverage, and at the same time take the financial burden off the city and town. reporter: he wasn t sure how it would play out but emphasized the positive. one of the benefits of the affordable care act is making sure those americans that don t get health insurance through their employer are able for the first time to go in the open market through these market places and purchase high quality, affordable health insurance. reporter: former dnc chairman howard dean says a component of the health care law, independent payment advisory board is a major problem. dean writes in the wall street journal it is essentially a health care rationing body, will be able to stop certain treatments its members do not favor by sip plel setting rates to levels where no doctor or hospital will perform them.