Despite passionate opposition and a Supreme Court challenge in 2012, the Affordable Care Act will mark its fifth anniversary on March 23.
Last week, the law was in front of the Supreme Court once again. Most experts agree that King v. Burwell is the most significant threat to the ACA since 2012. According to an Urban Institute analysis, if the court strikes down the federal exchange subsidies, the ruling would eliminate about $28.8 billion in assistance to 9.3 million individuals in 34 states in 2016. Such a ruling would kick off a cascade of events -- many people would likely drop coverage because of the cost, forcing premiums up for sicker people who can't drop coverage and pushing the individual market into a " death spiral."