Few Americans will have given thanks for the Affordable Care Act, as problems with the system continue to pile up. Healthcare.gov was supposed to be a source for small business insurance plans by the end of this month, but the Obama Administration has pushed the plan back by a year following the site’s disastrous launch. Businesses are advised to sign up for plans via insurers, agents or brokers instead. Meanwhile, millions more people will qualify for Medicaid in 2014 due to the Act. Unfortunately, relatively few doctors are willing to accept Medicaid work, which remains poorly paid and a bureaucratic nightmare.