Confusion and controversy have plagued the Affordable Care Act (ACA or Obamacare) since its enactment in 2010. Republicans have generally opposed the legislation and attempted to obstruct it or repeal it altogether. Democrats have tended to support it, defending it against the opposition, but wary of some of its problems. Patients and families are caught in the middle. This is the first book to take an evidence-based approach to assessment of the good and bad about this signature domestic legislation of the Obama presidency after five years of experience. The three major aims of the ACAto provide near-universal access to health care, to contain costs and make health care affordable, and to improve the quality of U.S. health careare not being met, and the ACA's approach to health care reform will not work. As it fails, the big question is what next? The case is madeon economic, social and moral grounds that a single payer improved Medicare-for-All system will be best
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