Years of attack leave Affordable Care Act a more government-focused health law

WASHINGTON — The Affordable Care Act was conceived as a mix of publicly funded health care and privately purchased insurance, but Republican attacks, culminating this month in the death of a mandate that most Americans have insurance, are shifting the balance, giving the government a larger role than Democrats ever anticipated.

And while President Donald Trump insisted again on Tuesday that the health law was "essentially" being repealed, what remains of it appears relatively stable and...

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