The ACA shifted U.S. health policy from centering on principles of actuarial fairness toward social solidarity. Yet four legal fixtures of the health care system have prevented the achievement of social solidarity: federalism, fiscal pluralism, privatization, and individualism. Future reforms must confront these fixtures to realize social solidarity in health care, American-style.
Wiley, Lindsay, "Social Solidarity in Health Care, American Style" (2020). Articles in Law Reviews & Other Academic Journals. 1861.