The A. C.A.’s opponents brought a lawsuit against its requirement

The A. C.A.’s opponents brought a lawsuit against its requirement
that people buy insurance — a Republican idea — the very day the statute was signed into law.
If the Democrats had instead enacted a single-payer policy — such as Medicare for all — the entire health care system
would have been in the hands of the federal government, instead of dependent on the states and private insurers
For insurers, not knowing whether that money could be cut off — President Trump is still
threatening not to pay them — has caused anxiety about whether to remain in the A. C.A.
Instead, opponents did everything possible to shut off all the A. C.A.’s financing — starvation intended to wreak havoc in the insurance markets and to make it falsely appear
that the A. C.A.was collapsing because it was just bad policy.
Yet another lawsuit seized on some sloppy language in the law to make the implausible argument
that Congress did not provide for the insurance subsidies on which the law depends.
The Republican-controlled House never provided any additional implementation money after the initial appropriation set forth
in the Affordable Care Act itself, forcing the Department of Health and Human Services to scrounge for needed funds.