“Girly … tough ain’t enough,” was Clint Eastwood’s warning to his boxing protégé in “Million Dollar Baby.” This should have been the warning the drafters of the Patient Protection and Affordable Care Act (“ACA” or “Obamacare”) gave to women before they signed up by the millions on its exchanges.

Health care is tougher and more expensive for women than men, with childbirth and its related care being the most obvious example. Historically, insurance companies had this in mind when underwriting a woman as a higher cost risk compared to a man of similar overall health. Obamacare promised to fix this: To make it a fair fight between the genders for affordable and high-quality health plans. Like almost all of its promises, let’s chalk this one up as broken and undelivered. This sad reality leaving female customers on the health care ropes.