During a Center for American Progress seminar on Monday, a former top Obama administration official charged with developing Obamacare said the shift to the president’s healthcare overhaul will be “messy” and fraught with “unanticipated” challenges.

“We know it’s going to be messy,” said Jeffrey Crowley. “There are going to be things that come up that are unanticipated.”

The panel discussion centered on how Obamacare will affect HIV/AIDS and the lesbian, gay, bisexual and transgender community. “If we do everything we can possibly think of, it’s still going to be a messy transition, but we’ll end up in a better place,” said Crowley.

National Minority AIDS Council Director of Legislative and Public Affairs Kali Lindsey agreed. “One of the realities of the Affordable Care Act is that everything is not going to be perfect when it’s implemented on day one.”

The seminar also touched on how illegal immigrants, who are not supposed to be eligible for Obamacare, will be affected by the new law.

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