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Nobody in Washington seems to like the Affordable Care Act. Republicans, who opposed it unanimously when it passed in 2009 and 2010, want to repeal it altogether, claiming it gives too much power to the federal government. Democrats argue the law doesn’t go far enough: Sen. Bernie Sanders, I-Vt., wants to replace the ACA with Medicare for All, which would get rid of private insurance entirely.

The thing is, nobody outside Washington wants a dramatic reworking of a health law that provides coverage to 20 million Americans who previously didn’t have health insurance, while also making a tentative start on lowering the costs of medical care. Voters may believe, to borrow a phrase from Winston Churchill, that President Barack Obama’s signature health law, like democracy itself, is the worst health care policy except for everything else that has been tried.

Recent history has shown as much. When the GOP tried to repeal and replace the ACA in the spring and summer of 2017, its various plans proved unpopular. Meanwhile, the progressive alternativeproposed by Sanders and championed by many of his colleagues—a health care system run entirely by the federal government — also does not enjoy broad support, at least not once people find out it means they have to give up their private plans and potentially pay higher taxes. Read more

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Nobody in Washington seems to like the Affordable Care Act. Republicans, who opposed it unanimously when it passed in 2009 and 2010, want to repeal it altogether, claiming it gives too much power to the federal government. Democrats argue the law doesn’t go far enough: Sen. Bernie Sanders, I-Vt., wants to replace the ACA with Medicare for All, which would get rid of private insurance entirely.

Nobody in Washington seems to like the Affordable Care Act. Republicans, who opposed it unanimously when it passed in 2009 and 2010, want to repeal it altogether, claiming it gives too much power to the federal government. Democrats argue the law doesn’t go far enough: Sen. Bernie Sanders, I-Vt., wants to replace the ACA with Medicare for All, which would get rid of private insurance entirely.