Introduction:
Whether you appreciate or hate the nearly 3,000 pages of complexity it contains, one has to respect the tenacity and courage of President Obama in being willing to risk his legacy, popularity and even his chances of a second term to muscle this historic bill through a bitterly divided Congress. You can’t unring this bell. It would take a majority of 60 Republicans in the Senate (there are 40 now) and a Republican president to repeal it. Of course, over a dozen state attorneys general have filed suit to get the courts to block the law’s implementation, but my sense is that reform will proceed despite them. America arguably has the best health care in the world, at least when things work at their best. Unfortunately, all too often that is not the case.