In 2010, Barack Obama signed the Patient Protection and Affordable Care Act (the ACA), a complex statute of more than nine hundred pages that fulfilled his goal of extending health-insurance coverage to virtually all Americans-an objective that previous U.S. presidents had sought and failed to achieve for a century. 2 This legislation was hotly contested in the Congress, passing with the support of very few Republicans in the Senate and none in the House.
Michael J. Graetz & Jerry L. Mashaw,
Constitutional Uncertainty and the Design of Social Insurance: Reflections on the Obamacare Case,
Harv. L. & Pol'y Rev.
Available at: https://scholarship.law.columbia.edu/faculty_scholarship/2195