You expect to argue with conservatives about policy, but I was really taken aback in the wake of the Affordable Care Act’s passage by the number of conservatives who claimed to believe that repealing the law would be a feasible political agenda. It’s not. And as the latest token of that fact, note that about 61 percent of the public now opposes repeal with 47 percent saying we should see how it works and 14 percent sure it should remain unmodified.
I don’t think it should remain unmodified and I don’t expect it will remain unmodified. We’ll see changes, some of which I’ll like and some of which I won’t like. But the basic structure—an individual mandate to buy subsidized, regulated insurance that will be offered to all customers on a non-discriminatory basis—will be with us for a long, long time.