ACA dead-enders will stay at it, fighting Medicaid expansion and filing creative, hopeless lawsuits. They'll stop Medicaid expansion in some states, denying coverage to millions of the most needy. But the ACA will survive. In health care policy, the arc of history has taken a decisive turn toward human decency.
When I was first diagnosed with Type 1 diabetes more than 25 years ago, I had no health insurance. And due to my young adult perspective and extreme naiveté about managing my diabetes condition, I believed that very little about my personal life would change with my diagnosis. I guess ignorance is bliss, but ignorance can also cause the eventual reality to be that much more painful.