It's hardly news that people are having trouble understanding the nitty-gritty of the Affordable Care Act. Recent polls have detailed the difficulties.
But work by economists at Carnegie Mellon University suggests a big reason for the confusion that's been largely overlooked: The public doesn't understand how health insurance works in the first place.
Tammy Spencer did a double take when she read the address on her paper and looked at the house in front of her.
Spencer, a volunteer with the nonprofit Enroll America, was spending a hot and humid Saturday morning knocking on doors in Boca Raton, a mostly posh South Florida city, looking for people without health coverage. She wanted to let them know about new online insurance marketplaces that open for enrollment Oct. 1.