MIAMI, FL - OCTOBER 10:  Jackie De Carvalhof shows her support for the Affordable Care Act during a rally in front of the Stephen P. Clark Government Center on October 10, 2013 in Miami, Florida. The rally was held one week after the insurance marketplaces opened, with members of the OFA-FL volunteers helping people to understand that Obamacare ,Affordable Care Act, is already working and to tell the Tea Party: "Enough Already."   (Photo by Joe Raedle/Getty Images)