Exactly seven years ago Thursday, after decades of effort to make health care available to all Americans, the Affordable Care Act was signed into law. Now, in what House Speaker Paul Ryan calls “an act of mercy,” the House is planning an anniversary vote to repeal it and, in addition, to radically alter the Medicaid program that has been a staple of the national safety net since the 1960s. For members of Congress, this is one of the most consequential votes they might ever face.
For millions of people, the Affordable Care Act has meant access to regular medical care for the first time. And for tens of millions more, the ACA protects us against being denied insurance because of a pre-existing medical condition or because we reached a lifetime cap.