On March 24th, 2010, President Barack Obama signed into law the Patient Protection and Affordable Care Act (PPACA), declaring "everybody should have some basic security when it comes to their health care." Lauded by the media as "the most expansive social legislation enacted in decades," PPACA, and its companion bill, the Health Care and Education Reconciliation Act of 2010 (HCERA), known jointly as the Affordable Care Act (ACA), are tremendously complex pieces of legislation. Congress aimed, among other goals, to expand coverage and reduce costs. Additionally, the President discussed the need for security and stability in the face of objectionable insurance industry practices:
One man from Illinois lost his coverage in the middle of chemotherapy because his insurer found that he hadn't reported gallstones that he didn't even know about. They delayed his treatment, and he died because of it. Another woman from Texas was about to get a double mastectomy when her insurance company canceled her policy because she forgot to declare a case of acne. By the time she had her insurance reinstated, her breast cancer had more than doubled in size. That is heart-breaking, it is wrong, and no one should be treated that way in the United States of America.
Michael Lee Jr.,
Adverse Reactions: Structure, Philosophy, and Outcomes of the Affordable Care Act,
Yale L. & Pol'y Rev.
Available at: https://digitalcommons.law.yale.edu/ylpr/vol29/iss2/6