Article
What Is Federalism in Healthcare For?
by Abbe R. Gluck & Nicole Huberfeld
The Affordable Care Act (ACA) offers a window into modern American federalism—and modern American nationalism—in action. The ACA’s federalism is defined not by separation between state and federal, but rather by a national structure that invites state-led implementation. As it turns out, that structure was only a starting point for a remarkably dynamic and adaptive…