16 July 2016 - History will almost surely rank health care reform as one of President Obama’s greatest accomplishments.

About 20 million Americans have insurance that might otherwise have been unaffordable, and the law has cost much less than anticipated. But one senior administration official thinks the Affordable Care Act has fallen short. His name: Barack Obama.

Presidents usually wait until their memoirs to review their work. Not, in this case, Mr. Obama, who recently marked the act’s sixth anniversary with an unusual article in The Journal of the American Medical Association. Health care costs are still much too high, he wrote, and 29 million people still lack coverage. He then sketched some ideas for the presumptive presidential nominees. Hillary Clinton is likely to listen, having proposed improvements of her own. Donald Trump, not so much. He has so far adopted the “repeal and replace” position of his party.

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