Affordable Care Act survives--just barely

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Now that Barack Obama has been reelected and his party continues to hold the majority in the Senate, the Patient Protection and Affordable Care Act will survive and be implemented mostly whole in 2014.

I would like to revel in this, but I cannot just yet. Preserving the ACA was not a case of America putting its best foot forward. Healthcare reform was instead tied to a boulder for a spell--while some drunken extras from "Deliverance" held a knife-throwing contest.

This was an extraordinarily ugly election campaign, beset by the kind of racial undertones that had been swiftly beaten down during the 2008 contest.

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