President Barack Obama took stock of his health care legacy in JAMA this summer.1 Reflecting on the Affordable Care Act (ACA), the president enumerated evidence to support what he termed “significant progress toward solving long-standing challenges facing the US health care system related to access, affordability, and quality of care.” Both President Obama and commentators in accompanying Editorials,2- 4 however, acknowledged that much work remained to be done.
Naylor CD. Vital Directions for US Health CareBig Ideas on Small Signposts With Mixed Signals. JAMA. 2016;316(16):1682-1684. doi:10.1001/jama.2016.12415