In Iowa and Nebraska, Obamacare is in Trouble Listen Download Embed Share Share this on Facebook (Opens in a new window) Share this on Twitter (Opens in a new window) Share this via Email Oct. 26, 2009: Primary care physician Dr. Don Klitgaard talks to a patient on the phone at the Myrtue Medical Center in Harlan, Iowa. ( Nati Harnik / Associated Press ) Produced by PRI and WNYC