MIAMI, FL - DECEMBER 15:  Jose Ramirez (L) and Mariana Silva speak with  Yosmay Valdivia, an agent from Sunshine Life and Health Advisors, as they discuss plans available from the Affordable Care Act at a store setup in the Mall of the Americas on December 15, 2014 in Miami, Florida. Today is the last day for people to sign up if they want insurance coverage under the Affordable Care Act to begin January 1, 2015.  (Photo by Joe Raedle/Getty Images)