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Karen Ruffin

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Karen Ruffin signs up for health care at Enroll America in Cincinnati Monday, March 31, 2014. Ruffin said she has been uninsured for about a year and put off signing up until Monday’s deadline because she thought the process would be much more difficult than it turned out to be. (AP Photo/Amanda Lee Myers)

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Karen Ruffin, left, signs up for health care with an assistant Henry Knight, right, at Enroll America in Cincinnati, Monday, March 31, 2014. Ruffin said she has been uninsured for about a year and put off signing up until Monday’s deadline because she thought the process would be much more difficult than it turned out to be. (AP Photo/Amanda Lee Myers)