Thanks to the Supreme Court and Barack Obama's re-election, the Affordable Care Act—"Obamacare" to foes and a few of its friends—isn't going away. The issue now is how it will work. Even by Washington standards, implementing this law is extraordinarily complex. The federal government last year issued 70,000 pages of guidance, including 130 pages on the look of websites for new marketplaces where many will shop for insurance.
Mr. Obama barely mentioned the law in his State of the Union address Tuesday. If it works as he hopes, he will have secured his legacy and solved the long-festering problem of the uninsured—though not the companion problem of rising costs. If the law flops or provokes a backlash, a future president will be forced into more radical reshaping of the health-care system.
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Source: The Wall Street Journal