Two years ago, President Barack Obama signed into law the Patient Protection and Affordable Care Act (PPACA).[1] The PPACA was unpopular when it was enacted in March 2010, and although its proponents hoped it would gain broad acceptance as people learned more about the law, not much has changed since then.

Public opinion surveys continue to show that more people oppose the health care law than support it. The latest Rasmussen poll shows that 56 percent of likely voters “somewhat favor” repeal of the health law, of which 46 percent “strongly favor” repeal.[2]

Many of Obamacare’s key provisions—such as the creation of health insurance exchanges, costly subsidies to purchase coverage, the massive expansion of Medicaid, and the individual and employer mandates—do not take effect until 2014. However, as noted in “Obamacare: The One-Year Checkup,”[3] several important provisions—such as minimum loss ratio regulations, the small-business health insurance tax credit, high-risk pools, and coverage mandates on insurance companies—have already taken effect.

There have been several significant developments over the past year—the decision by the Supreme Court to hear a case on the constitutionality of the law, the halting of the Community Living Assistance Services and Supports (CLASS) Act, and the new preventive care benefit mandates. The outcomes continue to underscore that this health care law is unworkable, unsettled, and not worth its cost.

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