Patient Protection and Affordable Care Act - Obama Presidency Oral History Back Index / Policies Patient Protection and Affordable Care Act Transcripts Rob Nabors ...Trump, they couldn't get rid of the ACA [Affordable Care Act]. They didn't wan... ...they couldn't get rid of the ACA [ Affordable Care Act ]. They didn't want to get rid of th... ...They didn't want to get rid of the ACA . They really just wanted to rebran... ...2009, the Senate passed the Patient Protection and Affordable Care Act sixty to thirty-nine. In January o... ...House passed the Senate version of the Affordable Care Act . I wanted to ask you the same questio... ...day that the Supreme Court upheld the Affordable Care Act in the summer of 2012. What do yo... Show more... Leana Wen ...because these were the times before Obamacare , before the Affordable Care Act, and ... ...the times before Obamacare, before the Affordable Care Act , and I saw so many patients bein... Jason Furman ...oh, I was very closely involved in the Affordable Care Act [ACA]. So initially, we had a lot o... ...involved in the Affordable Care Act [ ACA ]. So initially, we had a lot o... ...That was something we included in the Affordable Care Act . And then ultimately, the proces... ...then ultimately, the process around the Affordable Care Act got a little bit divided between ... ...support of the final legislation on the Affordable Care Act , if it included the Cadillac Tax. An... ...that they would be supporting the Affordable Care Act . Christy Romer, who was the CEA chai... ...special interest carve-outs in the Affordable Care Act . There had been something called th... ...that was ultimately passed for the Affordable Care Act . That's a great story. Thank you fo... ...2009 about whether to continue on the Affordable Care Act or drop it. Yes, please do, agains... ...the summer of 2009 was brutal for the Affordable Care Act . We were hoping we'd have it done b... ...never liked the idea of doing the Affordable Care Act from the beginning, they thought it wa... ...three options. One was not pursuing the Affordable Care Act at all, not pursuing healthcare at all... ...for going full speed ahead with the Affordable Care Act , grounded it in a century of histor... ...there and watched the House pass the Affordable Care Act and then pass the amendment to th... ...Act and then pass the amendment to the Affordable Care Act . And a friend of mine from college, ... ...voted about fifty times in favor of the Affordable Care Act . I believe the computer system onl... ...minutes about this moment, about the Affordable Care Act , about what had just happened. An... ...else that had played a role in the Affordable Care Act passing. So it was certainly the mos... ...cost and taxation issues related to the Affordable Care Act . I wanted to ask you about th... ...of 2010, which was passed alongside the Affordable Care Act . Why was that so important t... ...alongside it. It's because the original Affordable Care Act passed the House—I'm sorry, passed th... ...to the way the subsidies worked in the Affordable Care Act . So we ended up needing to make som... ...certainly think it was partly that. The Affordable Care Act definitely lost us seats in th... ...economy, it was partly things like the Affordable Care Act that weren't popular, and partly th... ...and then during the tax parts of the Affordable Care Act as well. But that was my first time i... ...and I handled the Recovery Act, the Affordable Care Act , infrastructure, and fiscal issues. S... ...like the Recovery Act, the Affordable Care Act , the 2010 deal, the debt limit. The... ...for anyone. I don't know, though. The Affordable Care Act [ACA] emerged as a factor in the 201... ...though. The Affordable Care Act [ ACA ] emerged as a factor in the 201... ...anything about the ways in which the Affordable Care Act became a central part of thos... ...a somewhat distant second to the Affordable Care Act , which was the first. And so this wa... ...ago, and I wanted to ask you about the Affordable Care Act and its implementation, and healthcar... ...that the reduction the result of the Affordable Care Act ? It partly was, and we did work t... ...carefully quantify which parts of the Affordable Care Act we could directly measure and trace t... ...I had wanted it to be when we did the Affordable Care Act for political reasons, understandabl... ...Obama urged Congress to improve the Affordable Care Act in various ways, including recommendin... ...anything, in the landscape of how the Affordable Care Act had been implemented over the thre... ...one more question on healthcare and the Affordable Care Act , and I wanted to ask about th... ...to eliminate two million jobs, Obamacare , when it was actually a labor-suppl... ...were first-order important, like the Affordable Care Act , like policies on energy conservation... Show more... Bob Kocher ...create what is a lot like what is the Affordable Care Act [ACA] in Massachusetts, which was ... ...like what is the Affordable Care Act [ ACA ] in Massachusetts, which was a privat... ...enacted. We've seen that since the Affordable Care Act . Despite a vociferous set of peopl... ...the first two years after he passed the Affordable Care Act . Larry Summers asked me one day, “Hey... ...that, amid and after passing the Affordable Care Act , you had a period of lower—relative t... ...much longer period post-passing of the ACA . The policies appear to have actuall... ...endorsed the pace reduction of the Affordable Care Act prior to him going, but it wa... ...malpractice reform as part of the Affordable Care Act . When we would go speak to docto... ...groups for what is the entirety of the Affordable Care Act , and that, actually, it's a goo... ...Zeke and I managed to get into the ACA basically some R&D [research an... ...agreed with virtually everything in the ACA , it became harder and harder for the... ...the central tenets of what is the Affordable Care Act , and tried to engender popular suppor... ...and was ultimately included in the Affordable Care Act . You and Dr. Emanuel wrote in the Ne... ...relative to what was in what is now the Affordable Care Act . They all cost more than you woul... ...upheld the constitutionality of the Affordable Care Act 's individual mandate, but at the sam... ...to address inequality through the Affordable Care Act ? It was a setback because it slowe... ...worked hard to get Section 10332 of the Affordable Care Act added, which is a section that says th... ...sector. That was the idea. But the ACA is where that's inculcated, Sectio... ...We coined some quality metrics in the Affordable Care Act , but you could do your own qualit... ...up for health insurance under the Affordable Care Act , exceeding expectations. Can I jus... Show more... Kevin Concannon ...but, you know, we're implementing the Affordable Care Act .” And I said, “Is this an orchestr... Michael Minor ...being the grant we received to do the Affordable Care Act for us to do some things. But becaus... ...H.O.P.E. and, of course, about the Affordable Care Act [ACA]. But first, you mentioned you... ...course, about the Affordable Care Act [ ACA ]. But first, you mentioned your wor... ...natural segue in doing things with the ACA . The reason I say that is becaus... ...those type of things. Then, when the ACA came out, there was a natural segue i... ...this initiative, was to getting the ACA up and rolling. What I mean by that is... ...connection between Let's Move! and the ACA . That's fascinating. Maybe I'll as... ...themselves to building support for the Affordable Care Act and healthcare reform. Yes. As ... ...they tell us to start pushing about the ACA , we had a PowerPoint, that part of i... ...from Let's Move! and the other part was ACA . Those visits that were previousl... ...Move! piece were now Let's Move! and ACA . We shared these PowerPoin... ...Move! were now also talking about the ACA . We marketed it as a way of ... ...of the parents being involved and the ACA would be another little add-on. Mak... ...We looked at it as just not as the ACA , but as an outgrowth of the overal... ...whole scheme of things, Let's Move!, ACA together. But right then and there... ...level about the true facts about the ACA , you would have had trouble, rea... ...different things, so they associate the ACA not with Medicare, but with Medicaid... ...the two. They were saying that overall ACA is Medicaid. We showed the whole thin... ...years later in more detail, about the ACA as being a job creator. I talked abou... ...not Medicaid. That's fascinating. The Affordable Care Act , of course, became law in March o... ...engaged increased in the lead-up to the Affordable Care Act becoming law, or that there wa... ...you think worked their way into the Affordable Care Act ? I think the whole thing about som... ...and whatnot. That became part of the ACA . I think was the ten essentia... ...my wife and I are covered under the ACA , and have been since 2013. Preexistin... ...Preexisting conditions, without the ACA , I wouldn't have had coverage. Th... ...of 2010, what did the passage of the ACA mean for your community in terms o... ...they really were hammering how bad the ACA was. I just believe that there were ... ...I said to people, “Look, we get the ACA out in Mississippi. We get the ACA... ...the ACA out in Mississippi. We get the ACA , Medicaid expansion, the federall... ...idea of putting extra money into the ACA , changing things up. Really, if th... ...if the Supreme Court had said the ACA was unconstitutional, they, in th... ...the regulations, had so interwoven the ACA , it would have just been ... ...strong. Number one on the list is the ACA , because they took the time an... ...level to promote and talk about the Affordable Care Act nationally, and to answer question... ...or hedged the opposition to the Affordable Care Act . In other words, do you think that th... ...it. They didn't understand what the ACA was. I love President Obama. He's ... ...in my travel things I did. I had my ACA thing and Let's Move! and talking abou... ...Move! and the larger healthcare reform, ACA . To what extent did the previou... ...looked at the Let's Move! piece and the ACA , we didn't see any distinction betwee... ...it as emerging from opposition to the Affordable Care Act ? I was deeper than that. I can'... ...only when it comes to the work of the ACA in Mississippi, but the politics a... ...early on in helping getting the ACA up and going. I was surprised when the... ...they were wrong about going against the ACA , but they were more concerned abou... ...a layperson level? Of course, when the ACA was going on, we tried to get thing... ...to get things out there. We made the ACA a part of the training. As Acaci... ...we talked, we'd already worked with the ACA . We worked with influenza, our healt... ...that that department is doing. Again, ACA , influenza, now we're working with th... Show more... Christina Romer ...to construct what would become the Affordable Care Act —you describe the fall of 2009 as “... David Cote ...we were trying to accomplish with the ACA [Affordable Care Act] was to get peopl... ...trying to accomplish with the ACA [ Affordable Care Act ] was to get people to start to tak... Load more Transcripts Related Topics go to the Financial Crisis and the Economy Financial Crisis and the Economy go to the Healthcare Healthcare go to the Veterans Veterans go to the Financial Reform and Regulation Financial Reform and Regulation go to the East Wing East Wing