June 28, 2012
I’m sitting down to compose this column just after the announcement of the Supreme Court ruling upholding, I think, the Affordable Care Act (ACA). This ruling will be parsed by lawyers, politicians and pundits for weeks to come. It is conceivable that the weak enforcement provisions of the individual mandate and the ruling against the Medicaid provision will make the law a poor tool for achieving broader access to care while curbing cost. Time will tell.