In 2010, shortly before the Patient Protection and Affordable Care Act (PPACA) passed into law, the Journal of Health Politics, Policy, and Law published an article attempting to predict whether the measure would pass.

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In 2010, shortly before the Patient Protection and Affordable Care Act (PPACA) passed into law, the Journal of Health Politics, Policy, and Law published an article attempting to predict whether the measure would pass. The article analyzed the health care reform efforts of then-President Bill Clinton in 1992. You might even argue that the landscape for health care reform was more favorable at that time, compared to 2010: In November 1992 health care reform appeared to be a foregone conclusion. The country had elected a new, charismatic Democratic president and a Democratic Congress. Both the incoming president and members of Congress vowed to make health care reform a priority. Health insurance premiums were rising, and the economy was in recession. Yet, despite these favorable conditions, no major health care legislation passed the Congress. (Brady & Kessler, 2010)

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