REUTERS/Jonathan Bachman - The federal government forms for applying for health coverage are seen at a rally held by supporters of the Affordable Care Act, October 4, 2013.
Sheila Burke and Elaine Kamarck argue that the fate of the Affordable Care Act (ACA) has been put in the hands of individual states, thus political forces within those states will largely dictate the law’s success or failure. They outline some meaningful metrics for establishing success or failure (or both) in the years to come. The authors first describe the complex federal-state architecture of the law and how, in many states, politics have dictated the choices made. They ask eight key questions that will determine the long-term versus the short-term success or failure of the law. Read More ›