Keckley Report March 23, 2025
Today marks the 15th anniversary of the Patient Protection and Affordable Care Act (ACA). It is the most consequential and controversial health legislation in our country’s history since LBJ’s Social Security Amendments created Medicare and Medicaid in 1965.
When passed March 23, 2010, 41% of adults held a favorable view of the law vs. 44% who were unfavorable. Today, 64% have a favorable view vs. 36% unfavorable (KFF). The 900-page law sought expansion of insurance coverage, reduced health costs and improved quality of care. But its results to date are mixed: coverage increased from 84% to 92% but costs have grown unabated and quality improvements have been significant in some areas and negligible in others.
In retrospect, the ACA is...
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