While the ACA's insurance ...

While the ACA's insurance expansions and reforms represent a great leap forward for the U.S., it is also true that when fully implemented by 2018, the U.S. will still have the most inefficient, wasteful, and unfair health insurance system of any advanced nation, even with the ACA reforms.
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 John E. McDonough

Quotes from the same author

For the United States, the ACA is a revolution, an enormous set of changes that many see as a huge step forward and many others see as a wrong turn.
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 John E. McDonough
ACA is advancing an agenda of dramatic and necessary change in how medical care is delivered in the U.S.
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 John E. McDonough
The impact of the ACA on larger businesses - especially those that self-insure - is far less than what they would experience in the standard commercial insurance market were they to go out and purchase traditional coverage.
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 John E. McDonough