NEW YORK, NY - MARCH 23: Dr. Jim Spears speaks with Sarah Ittner, a New York-based actor who does not have health coverage, at the Actors Fund's Al Hirschfeld Free Health Clinic on March 23, 2011 in New York City. Wednesday marks the one year anniversary of President Obama's healthcare law known as the Affordable Care Act. The debate over the bill, which aims to bring affordable healthcare to all Americans, has been emotional as Republican activists have tried to get it repealed. The Al Hirschfeld Free Health Clinic supplies those in the entertainment industry without health coverage with access to doctors and specialists. The clinic has been serving the entertainment community since 2003. (Photo by Spencer Platt/Getty Images)