The existing heath insurance system (or lack thereof) was unsustainable. Single-payer is the best way to go, but special interests invested in the old system block a direct to move to single-payer. It will have to be incremental.
Its merits and demerits aside, the ACA was a huge political achievement. Health care reform had been blocked since the 1930s, and Obama didn't have much of a margin in Congress to work with in 2009. It took some deft maneuvering to get it passed.
Bookmarks