Health Affairs March 21, 2025
Editor’s Note
The following was adapted and updated from a set of prepared remarks initially prepared by the author and delivered at the University Of Virginia Affordable Care Act Conference sponsored by the Miller Center of Public Affairs on March 18, 2024.
Standing in the East Room of the White House on March 2, 2009, as President Obama announced that I would lead his Administration’s efforts to enact health reform, a famed portrait of Teddy Roosevelt hung over my right shoulder.
John Singer Sargent painted our 26th president with one hand on his left hip, the other on the newel-post of a White House staircase, scowling with disbelief, even derision—seemingly directly at me. As if to say, “What do YOU...
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