Health Affairs March 23, 2020
The Affordable Care Act (ACA) became law ten years ago today. Since then, the ACA has transformed the American health care system more than any law at least since Medicare and Medicaid in 1965. The ACA is also the most challenged and—thus far–the most resilient, statute in modern American history. It has been attacked relentlessly in the courts, by resisting states, through election cycles, and even sabotaged by this President himself. Yet it has endured, bringing health care to tens of millions more Americans and improving health care outcomes.
This is not the happy birthday most of us expected, thanks to COVID-19. And yet this public health emergency would be unimaginably worse without the ACA. Twenty million more Americans would...
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