It’s worth noting that Douthat’s cherry-picking on the uninsured rate is even more egregious than Chait demonstrates. The already very impressive reductions in the rate of uninsured the ACA has created would be substantially higher were Republican statehouses not generally refusing to take the statute’s Medicaid expansion. Now, if the structure of the ACA made this foreseeable it would be fair to blame the law for it, but of course it didn’t. Nobody could have expected the Supreme Court to re-write the expansion with an unprecedented decision that is also ludicrously incoherent. Just like ACA critics from the ostensible left, Douthat implicitly blames the ACA for consequences of the actions of its staunch opponents, which really can’t fly.