Advocacy Update: The Supreme Court and the Affordable Care Act: Milestone or Detour on the Road to Universal Coverage?
The Supreme Court's decision to uphold the Patient Protection and Affordable Care Act (Affordable Care Act, or ACA) may correctly be viewed as a milestone on the path to universal coverage, especially considering the 32 million uninsured persons who would have lost the opportunity to obtain coverage if the court had overturned the entire law. Yet, the Court's surprising decision to allow states to opt out of expanding Medicaid could result in coverage looking a bit like Swiss cheese, with big gaps for the most vulnerable, rather than the seamless expansion of coverage originally expected.
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