RT Journal Article SR Electronic T1 What’s Left of the Affordable Care Act? A Progress Report JF RSF: The Russell Sage Foundation Journal of the Social Sciences FD Russell Sage Foundation SP 42 OP 66 DO 10.7758/RSF.2020.6.2.02 VO 6 IS 2 A1 Levy, Helen A1 Ying, Andrew A1 Bagley, Nicholas YR 2020 UL http://www.rsfjournal.org/content/6/2/42.abstract AB We assess the progress of the Affordable Care Act a decade after it became law. Although most of it remains intact, some parts have been repealed and others have not been implemented as expected. We review how and why the law has aged. Legal challenges have done less damage than is commonly appreciated, with the exception of the Supreme Court case that thwarted full expansion of Medicaid. Most of the important changes have other sources. Some parts were born to fail. Others were dismantled in response to interest-group pressure. Still others have failed to thrive for any number of reasons. Finally, the sabotage campaign by the Trump administration has had modest effects so far, but could pose a serious threat in the coming years.