42 significant changes already have been made to ObamaCare

http://www.galen.org/newsletters/changes-to-obamacare-so-far/

By our count at the Galen Institute, more than 42 significant changes already have been made to ObamaCare: at least 24 that President Obama has made unilaterally, 16 that Congress has passed and the president has signed, and 2 by the Supreme Court.