If 2010 was the year the Affordable Care Act was passed, 2012 is the year it became real. With the Supreme Court decision and the election results, the question is not whether Obamacare will be implemented, but how.
NO MORE EXCUSES: The legal and political obstacles that existed fell away this year. The Supreme Court's decision was dramatic in its presentation, on the last possible day of its term − but also in its impact. While many organizations drafted press releases for different outcomes, any other decision to strike down part or all of the law would have been stunning, resulting in upending years of planning and policy work, not to mention the lives of millions.