Perspectives on healthcare reform: a year later, what more do we know?

PPACA or the Affordable Care Act(1) was signed into law on March 23, 2010.(2) To many, the Affordable Care Act offers the promise of far greater access to high-quality, affordable care. But to others, PPACA risks unsustainable cost increases, diminished freedoms, and irreparable harm to the world's finest healthcare delivery system. Which characterization will ultimately be proved correct? Or might the actual reforms surprise both proponents and skeptics? With a year of experience under our belts, it seems appropriate to ask: What more do we know about the new law, now?