From outside the state, California seems like the promised land of Obamacare. But from Sacramento, as another open enrollment period gets underway, the picture is different. Covered California, the state’s health insurance exchange, is working for some consumers, but some residents of Northern California complain they have fewer insurance plans, doctors, and hospitals to choose from than before. And Medi-Cal, in the course of enrolling millions more Californians, has been plagued by backlogs and other bureaucratic problems. The state insurance commissioner says reform has done little to rein in skyrocketing premiums. What, if anything, can communities in the Sacramento region do to expand their options and lower the costs of getting healthcare? What role is there for local health plans and providers in the new health insurance system? Western Health Advantage CEO Garry Maisel, Health Access lobbyist Beth Capell, and Bay Area Council policy advisor Micah Weinberg visit Zocalo to examine whether Obamacare will create more healthcare choices in the Sacramento Valley–or limit them.