“Indispensable.... Brasfield cleanly and concisely weaves together so much useful data and scholarly analysis on the ACA’s political development and implementation into a single, coherent narrative.... It should be within arm’s reach of health policy scholars everywhere.” —Philip Rocco, Political Science Quarterly"Excellent.... Brasfield's comprehensive account of the Affordable Care Act and its aftermath brings together a wealth of information on the legislation's formation, implementation, and successes/failures in the years since its enactment." —Laura Olson, Lehigh UniversityIn the more than a decade since the enactment of the Affordable Care Act, questions about the law continue to be vigorously debated. What political dynamics led to its passage? Why has it been subject to so many existential threats? What accounts for its survival and growth? How can its performance best be evaluated?Addressing these questions, James Brasfield eschews partisan rhetoric to provide an in-depth discussion of the politics and policy of the ACA—from its origins to the present—assess the success of the law in achieving its goals, and project possible future scenarios.