David Hyman of the University of Illinois discusses the difficulties that have emerged with the practical implementation of the Affordable Care Act. Hyman notes that there is a substantial amount of delegation in the ACA, leaving many important decisions to government administrators. One of the inherent challenges with designing and implementing a law such as the ACA is the information problem involved in keeping up with current practices and local preferences. Hyman says that the designers of the law attempted to address these by getting the states heavily involved, but it is not clear whether that will succeed. According to Hyman, it is important to follow the implementation details closely because it is not just about arcane technical matters. This phase is still intensely political, interesting, and important. Indeed, he says, it is the continuation of the fight about the original legislation.

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