Abstract
Eleven years after the passage of the Affordable Care Act (ACA) in 2010, it remains under attack from its political opponents and defended by its supporters. As the most sweeping health reform legislation since Medicare and Medicaid were enacted in 1965, the ACA had 3 primary goals, namely (1) increasing access to affordable health insurance, (2) reducing the cost of health care, and (3) improving health care quality. Although some ACA policies have garnered bipartisan support (eg, the dependent coverage provision enabling young adults to remain on their parents’ health insurance plans until age 26), other policies have been met with numerous legislative and judicial challenges and claims of unconstitutionality (eg, the individual mandate which financially penalized anyone who did not have health insurance).
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