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The Affordable Care Act’s Second Act

Now that efforts by the US Congress to repeal Obamacare have failed, it's time to redress the 2010 health-care law's shortcomings. Solutions are available, and they are to be found not in disingenuous Republican grandstanding about socialism, but in innovations that leverage the federalist flexibility that is a defining feature of US democracy.

BERKELEY – Congressional Republicans have twice failed to marshal enough votes to realize their seven-year promise to “repeal and replace” the 2010 Affordable Care Act (ACA, or “Obamacare”). Reeling from their defeat, it appears that they have abandoned the effort.

But the fight to undermine affordable access to health care is far from over. As the co-authors of the most recent failed repeal effort put it, “when it comes to Obamacare, the worst is yet to come.”

Americans must not let that happen. A growing number of governors, mayors, and citizens recognize that Obamacare has been a success. The ACA has reduced disparities in access, encouraged innovations in health-care delivery essential to stemming growth in costs, and, most important, provided insurance coverage and improved care for tens of millions of Americans.  

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