John McDonough of the Harvard School of Public Health discusses the main provisions of Affordable Care Act (ACA) and the place that the ACA holds in history. The ACA, he says, is a landmark achievement in U.S. health reform and U.S. social policy. He believes that in terms of its importance in the history of modern American social policy, it is rivaled only by the passage of Medicare and Medicaid. McDonough argues that the debate surrounding the passage of the health reform law is about deeply held values. In the choice between smaller government or a society that provides people with health security, he says, America has chosen the latter. According to McDonough, the ACA is a victory for the health justice movement.

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