Enacted in 2010, the Affordable Care Act (ACA) has shown its political resiliency. In its first five years, the law has survived more than 50 congressional attempts at repeal. While the ACA has held its own legislatively, it’s on shakier ground financially. That tendency ultimately could lead to significant changes. For evidence, consider the fact that the ACA’s burgeoning healtcare costs were highlighted earlier this year in the U.S. Supreme Court’s decision in King v. Burwell.
 
Decided in late June, the Supreme Court case focused on the legality of tax subsidies for health insurance provided by the ...