Ezekiel Emanuel's part in formulating the Affordable Care Act was overshadowed as it became known by President Obamas campaigning for it's passage. The bill was passed by the Republicans refusal to compromise on some important values to all Americans. The democrats won a political victory by expediency. The clock was ticking and the moment was at hand. Rather than passing an intelligent, logicall and well thought out law the ACA was passed with an end goal in mind, not the liklihood that it would work.
A major goal was to insure 40 million Amercans that were then uninsured. The goal was not achieved, however missing it by tens of millions, leaving those still uninsured. Affordability is open to question.
I thought it would be a good time to republish my thoughts of November 2013,