The Sustainability of the ACA: Legal Challenge and Legislative Opposition

Di Gioia, Ilaria (2016) The Sustainability of the ACA: Legal Challenge and Legislative Opposition. The international journal of sustainability in economic, social and cultural context, 12 (1). pp. 1-12. ISSN 2325-1115

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Universal health care coverage has long been seen as an unattainable goal for Americans. With the Affordable Care Act, the Obama administration addressed the issue with a complex system of mandates, subsidies, and state marketplaces. The implementation of the reform encountered many obstacles: legal challenges, congressional shut down, system failure, and recently, a growing number of state legislatures (23 to date) enacting measures to nullify or opt out of the reform. This paper examines the resistance to the Act in two interrelated dimensions: legal challenges and state legislative opposition. These two dimensions of resistance are explored in order to speculate on the legal and political sustainability of the reform. Ultimately, the discussion on the sustainability of health care reform sheds considerable light on broader sustainability of federal intervention in social policies (gun control, abortion, immigration, death penalty, drug control).

Item Type: Article
Identification Number:
4 January 2016Published
Uncontrolled Keywords: Affordable Care Act, universal health care, resistance, legislative reform
Subjects: CAH16 - law > CAH16-01 - law > CAH16-01-01 - law
Divisions: Faculty of Business, Law and Social Sciences > School of Law
Depositing User: Ilaria Di Gioia
Date Deposited: 05 May 2017 11:36
Last Modified: 03 Mar 2022 15:55

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