Obamacare has still not achieved what its backers initially said was one of its key objectives.

The ACA left intact many of the root dysfunctions driving our health care problems.

Despite the administration’s extended sign-up period, early reports suggest, many of the remaining uninsured are still opting for the penalty over insurance.

46 percent of doctors give the ACA a ‘D’ or an ‘F,’ with only 25 percent giving it an ‘A’ or ‘B.’ The reason for low support seems to be that the law increases paperwork without fixing some of our deepest health care problems—and that diagnosis, at least, seems about right.

A year after its launch, the ACA’s success in expanding coverage is mixed—and its effectiveness in controlling costs and increasing transparency even more so. New services and innovations unrelated to the law, however, offer some hope of a better way forward.