The future of the Affordable Care Act (ACA) was front and center in U.S. politics for the better part of a decade after Congress approved it in March 2010 mainly because many in the GOP pledged to “repeal and replace” the law at the first opportunity. Yet after failing to do so in 2017—despite controlling both Congress and the White House—Republicans backed off and mostly avoided the subject during the rest of President Trump’s term in office.
James C. Capretta is a resident fellow and holds the Milton Friedman chair at the American Enterprise Institute.
