The ACA is smaller, weaker and more liberal than Obama intended
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.