The fact that so few Americans have signed up for health insurance under the federal Affordable Care Act reinforces the position that much remains to be done.

The rollout on Oct. 1 should have been tested in a single state as many such policies are done. The states are similar to mini-laboratories where tests can be conducted. The results to date have been mixed from state-run websites.

Oklahoma would not have been a good candidate. The governor and other elected officials did everything they could to derail implementation and discourage participation.

Despite that, nearly 6,900 Oklahomans have completed applications but haven’t taken the final step to sign up. Fewer than 350 state residents have obtained coverage.

Suffice to say it’ll take some time to fix the problem. One longtime government watcher recalled the early days of Medicare being just as rocky.

If the program is not repaired soon, the health care act, the signature achievement of the Obama presidency, will be the major issue in mid-term campaigns.

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