Dr. Don Berwick, a former administrator of the Centers for Medicare and Medicaid Services, often calls the 2010 Patient Protection and Affordable Care Act “majestic.” The legislation’s noble intention was to expand health insurance to nearly all United States residents. There were notable and intentional exceptions including immigrants without some form of legal status. Even with its compromises and conditions, the Affordable Care Act promised to give millions of people ongoing access to health care.
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