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This R&D provides resources on the problems of the Affordable Care Act (ACA).  President Barack Obama’s major legislative initiative is suffering from a lack of insurance competition in many states and it was revealed this week that significant premium hikes are on the way.  Some states such as Arizona could see premium hikes that go beyond 100%.  Republican critics of the ACA have seized on this as proof that the system should be scrapped, while liberal forces argue that a “public option” should be introduced where the government could compete with private insurers to keep premium costs low.  It is unclear whether recent news about the ACA will affect the 2016 presidential election and be this year’s “October Surprise.”