TY - JOUR T1 - Remedy and reaction: The peculiar american struggle over health care reform AU - Sessions SY Y1 - 2012/03/21 N1 - 10.1001/jama.2012.308 JO - JAMA SP - 1202 EP - 1203 VL - 307 IS - 11 N2 - Shortly before midnight on March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act into law. The landmark health care reform statute had passed only after a protracted and tortuous legislative process, culminating in an unconventional parliamentary maneuver involving a second bill amending the act and approved by Congress 2 days later. This represented the first time major US social legislation had been enacted on a strictly partisan basis. Reaction on this occasion was remarkably swift and dramatic. Within minutes of the President's signing of the act, 13 state attorneys general filed a lawsuit asking that it be declared unconstitutional. These and other challenges leave the ultimate fate of the act in considerable doubt. SN - 0098-7484 M3 - doi: 10.1001/jama.2012.308 UR - http://dx.doi.org/10.1001/jama.2012.308 ER -