Health Care Reform’s Unfinished Work — Remaining Barriers to Coverage and Access — NEJM

These considerations notwithstanding, the ACA is succeeding in expanding coverage and access, with promising indications for population health.1 But challenges remain; the fundamental political question is how — and whether — they’ll be addressed. Though some members of both political parties favor replacing the ACA entirely, that seems unlikely to happen. Liberals who believe a single-payer system is the easiest method of eliminating cracks in our patchwork coverage approach must face the political realities that derailed a single-payer effort in liberal Vermont and have made it so challenging to implement even a centrist national health care reform law. Many conservatives still advocate “repeal and replace,” but the almost-certain backlash against taking coverage away from more than 15 million Americans makes it hard to imagine this rhetoric becoming reality, even if Republicans control Congress and the White House after 2016.

Source: Health Care Reform’s Unfinished Work — Remaining Barriers to Coverage and Access — NEJM

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