In this commentary, Thomas Buchmueller summarizes both political positions on the ACA and what each presidential candidate has in mind for its future. In terms of his own view, Buchmueller says: “For the millions of Americans who gained health insurance coverage as a result of the ACA, healthcare is truly more affordable. Many are already seeing the benefit of coverage in terms of better access to care and protection from the often catastrophic financial impact of a major health shock. But for many Americans with private insurance, particularly those with coverage provided by a small employer or purchased in the individual market, premiums and out-of-pocket payments remain a daunting burden. Only by strengthening—rather than repealing—the Affordable Care Act will we make progress in reducing that burden.”

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