Surprise, surprise: now that Affordable Care Act insurance has gone into effect, people are having trouble using it at hospitals.Even if these problems are solved, the almost unending streams of obstacles, challenges, and screw-ups associated with the law’s launch will leave a lingering bad taste in people’s mouths into the foreseeable future. The longer the ACA continues to provide access in name only, the more likely people are to form a settled negative opinion about it that will be difficult to overturn.