The biggest threat to the Affordable Care Act may not be the justices of the U.S. Supreme Court but rather the law’s biggest omission: no way to seriously control the cost of medical care. The absence of such a mechanism to curb the relentless rise in medical costs has always been the law’s Achilles’ heel, the biggest threat to its long-term stability. Ever-rising health care costs eat away at the law and jeopardize its effectiveness as a backstop for the uninsured and uninsurable.
As the never-ending battle over the Affordable Care Act (ACA) returns to a Supreme Court with a strong conservative majority, the future of the law is uncertain.