The Affordable Care Act (ACA) did more than reshape the American insurance market—it altered the lives of millions. To understand why the ACA remains both indispensable and fundamentally fragile, we must look back at the landscape before its passage, the revolution it initiated, the critical flaws built into its design, and the pathways the UnitedContinue reading “The Rise and Limits of the ACA: From a Desert of Care to a System at a Crossroads”