Jonathan Michels and Will Cox look back at some of bright spots and darker developments in the struggle for universal health care that occurred in 2018.

After a decade of intense political fighting and two of the largest wave elections in history, the US finally has a quasi-stable political equilibrium on the Affordable Care Act.

Known as “state innovation waiver,” Trump is seizing upon provision in Obamacare, which Democrats added to dupe progressives into voting for the ACA.