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The complex (and seemingly incomprehensible) national health care law has already provoked serious discussion and debate on the future of medical care.  Dr. Akhter will face business, senior citizen, religious, medical and general administrative questions about the city’s health insurance exchange which is expected to be operational by Oct. 1, 2013, as well as interpreting portions of the massive Affordable Care Act (e.g., income eligibility, incentives, health care cost containment, health insurance plans, penalties and tax implications).