Years of sustained political attacks and self-inflicted wounds have left the Affordable Care Act a lot smaller than anyone — from its drafters to its harshest critics — ever anticipated. It doesn't cover nearly as many people as Democrats hoped, and its new federal controls have turned out far weaker than Republicans feared.
Why it matters: Although a diminished ACA might seem like a clear victory for the law's opponents, the law as it exists today is in many ways more liberal than the one Democrats passed in 2010. Its benefits are more concentrated on a smaller group of sicker, poorer people, while the middle class has gotten an increasingly bad deal as the law's scope has shrunk.
What happened: Think of the ACA's core coverage provisions like a comet with a tail. As the ACA has evolved, the tail — the benefits that extend further up the income ladder — keeps taking the biggest hits. The parts of the ACA that offer comprehensive benefits to poor people are safe. Its efforts to build a more competitive market for the middle class are the parts that keep failing.
Go deeper: Read my full story in the Axios stream.