Opponents of the healthcare-reform law are expending huge amounts of rhetorical energy bad-mouthing the legislation, and various means of repealing it are pushing forward—even as the rolling-out of the bill continues apace.

But despite the rhetoric, the obstacles standing in the way of repeal or major changes in its structure appear to be growing, not receding.

For example, the momentum for exempting agent commissions from the medical-loss ratio through legislation was significantly slowed through a recent National Association of Insurance Commissioners (NAIC) task force decision to delay action on a resolution supporting such legislation.

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