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[Editorial] The Patient Protection and Affordable Care Act: 5 year review

The USA can proudly claim the most technologically advanced health-care capabilities in the world. Yet the lack of universal health insurance means that expertise is not translated into better health outcomes at a population level, and that out-of-pocket expenses are a common cause of impoverishment. The Patient Protection and Affordable Care Act (ACA) of 2010 aimed to address the above shortcomings by increasing the availability of insurance for quality health care. The effectiveness of the Act is shown by estimates released by the US Centers for Disease Control and Prevention on May 17, in which the proportion of people in the USA without health insurance in 2015 was 9·1%.