Volume 380, Issue 9855, Pages 1727 – 1728, 17 November 2012

WORLD REPORT    Implementation of the Patient Protection and Affordable Care Act is unlikely to run smoothly despite the Nov 6 election result. Susan Jaffe reports from Washington, DC.

Just 3 days after President Barack Obama’s re-election preserved his signature legislative achievement, the Patient Protection and Affordable Care Act (ACA), his administration reset a deadline for states to take a crucial step toward implementing it. The delay in the wake of the health law’s dramatic affirmation—first by the US Supreme Court and then at the polls—is another reminder that the way forward may still encounter obstacles, even if the most serious threat was eliminated on Nov 6. [MORE]   [PDF]