We had to pass the Patient Protection and Affordable Care Act to know what was in it, and we had to implement it to know what was wrong. 

Now, how will we know it is actually working? 

There are lots of metrics (both real and made-up) on the failures of the ACA, and a few similarly questionable indices on the law's success. For example, there were several recent stories on how there were more people buying pot than signing up for insurance in Colorado. Amusing, perhaps, but not very useful.

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