The document discusses the second anniversary of the Affordable Care Act and analyzes both its achievements and challenges. It notes that while the law expanded coverage to millions, the final version passed was reduced in scope from initial plans. Additionally, Republicans strongly oppose the law and have launched legal challenges against it. The Supreme Court will hear arguments on these challenges next week in a key case that could impact the presidential election. For Latinos who have high uninsured rates, parts of the law already in place provide important new protections.

1. The second anniversary of the Obama administration's health care
reform. This is one of the most important legislations in recent
years, expanding health insurance coverage to millions of unin-
sured and establishing patient protections in view of the inhumane
actions of the health insurance industry.
The law came about in response to general concern about
exorbitant increases in health care costs and the sad reality of mil-
lions of uninsured Americans. The system of guaranteeing health
coverage through employment has been disintegrating, and illness
has become one of the main causes of personal bankruptcy. The
reasons for the change were many.
On the other hand, the political realities President Obama found in Congress prevented him
from fulfilling several of his election promises. In the case of health care reform, the president
was reluctant to listen to recommendations from White House staff not to get involved in a
project with such a high political price and so few possibilities.
The final version of the law, which resulted from negotiations with lawmakers and interest
groups, was far from what was expected. The reform passed without a public coverage option,
leaving in place a private system without effective cost control. An ambitious health care system
reform was reduced to changing the health care coverage system, posing numerous challenges
for implementation at the state level. However, this legislation is a vast improvement for
consumers compared to the situation before the law was passed.
At the same time, the GOP has turned this reform into its sticking point against the president's
re-election. From the beginning, they unfairly accused the law of seeking to destroy the private
system and establish "death panels." They also talk about the mandatory requirement for
everyone to have insurance as if it were a loss of freedom instead of an act of personal
responsibility. It is unbelievable that Congress Republicans have even compared this law to
slavery.
Next week, a key process in the law's future will begin when the U.S. Supreme Court hears
arguments in a lawsuit against the reform. There is no doubt the high court's decision will end
the legal argument and influence the presidential election.
Meanwhile, the parts of the law that have been implemented are very positive for the Latino
community, which has the highest percentage of uninsured. Today, insurance companies can no
longer deny coverage as they see fit when it is not profitable for them. Just this aspect makes
the reform one of the White House's accomplishments.