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Now, it’s time for Obamacare opponents and partial critics to move on to the next play. That’s in the political, not the judicial, arena. Elections, and following though on campaign promises, matter.

The law and its regulatory mutations still don’t and won’t work well. More disappointments in what the ACA exchanges produce are ahead, and the reach of the law’s many contradictory and ill-founded ambitions has already reached a high-water mark. Returning our health care system back to a better place will take more time and incremental effort. But it still can and will happen. The old-fashioned way. First by containing the scope and scale of future harm. And then by peeling back the worst parts of this law through legislative and (future) executive branch means, piece by piece.

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