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Did the Affordable Care Act (ACA) usher in a revolution in US health care, or is fair to say that the ACA has fallen short

Did the Affordable Care Act (ACA) usher in a revolution in US health care, or is fair to say that the ACA has fallen short of achieving key health reform goals?

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https://www.healthaffairs.org/do/10.1377/forefront.20200406.93812/full/

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