The battle over the Affordable Care Act (ACA), passed by Congress and signed into law by President Obama in 2010, is now in its fifth year. Republicans and conservatives oppose everything about the law and use every lever of power—votes to repeal it, legal challenges, active efforts to discourage constituents from signing up for health insurance—in hopes of dismantling it. Democrats and liberals embrace the ACA, defend it in court, and encourage participation in the insurance exchanges...

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