The United States remains the only industrialized country without a universal health care system, with tens of millions of uninsured Americans. President Barack Obama led an effort to change that, ultimately passing the Affordable Care Act. But now, more than four years later, some Americans said the law that they thought would help them, has not. CCTV America’s Sean Callebs reports from St. Louis as part of our continuing series, Route 2014: The road to the U.S. Election.

CCTV America interviewed Hadley Heath Manning, director of health policy for the Independent Women’s Forum about the role health care will play in the U.S. midterm elections.

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