For decades, U.S. legislators struggled with how to ensure all Americans had health insurance. Every other developed country – and many less developed – had some kind of universal or near-universal coverage. On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care Act, commonly shortened to Affordable Care Act (ACA) or “Obamacare.”
Now with President Donald Trump in the White House and Republicans in the majority in both houses of Congress, the fate of the health law is uncertain. The president and the congressional Republicans promised swift action to repeal the law. But it turns out that uprooting a law that has been on the books for seven years and is covering about 20 million Americans is harder than it looks.