The next evolution of American healthcare is here
The Affordable Care Act has laid the foundation for a healthcare system that can be built upon to achieve near universal coverage. The program has its flaws, but it provides a starting point for future administrations to work from. By building on the existing system, it is possible to cover all Americans in incremental steps, making it a simpler task than designing a new program from scratch.
- ▪The Affordable Care Act has ended the long quest for a healthcare system that protects Americans from the costs of illness.
- ▪The program has flaws, but it provides a foundation for future administrations to build upon to achieve near universal coverage.
- ▪The mix of Medicare, enhanced Medicaid, Affordable Care Act marketplaces, and employer health plans makes it possible to cover all Americans in incremental steps.
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Opinion>Opinions - Healthcare The views expressed by contributors are their own and not the view of The Hill The next evolution of American healthcare is here Comments: by David Blumenthal and James A. Morone, opinion contributors - 05/22/26 12:00 PM ET Comments: Link copied by David Blumenthal and James A. Morone, opinion contributors - 05/22/26 12:00 PM ET Comments: Link copied Getty Images Every Democratic administration in the past century — no exceptions — came to Washington promising to rewire the healthcare system, mainly to protect Americans from the costs of illness. So did most Republican administrations (including President Trump’s). In the uproar of our times, few people noticed that the Affordable Care Act had already ended the long quest.
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