Tom Miller

..However, its successful implementation will be challenged by the complexities of enforcing an individual mandate and changing the long-standing course of an overregulated and high-cost health market...

..Vulnerable people are better served by more pluralistic social processes that facilitate, but do not mandate, more effective choices and trade-offs...

..Although recent developments in performance measurement illustrate its unsettled state, they also foreshadow how the field may advance...

..This essay argues that passage of the legislation merely represents a cease-fire in a long-standing war and that more battles between forces for "implementation" and those for "repeal and replace" are to come...