The Patient Protection and Affordable Care Act is either in robust health or on life support, depending on who is doing the diagnosis.

"Five years in … it is no longer just a law," President Obama said in early June. "It's no longer just a theory. This isn't even just about the Affordable Care Act or Obamacare. This isn't about myths or rumors that folks try to sustain. There is a reality that people on the ground day to day are experiencing. Their lives are better."

Not so fast, Grace-Marie Turner, president of the Galen Institute, a nonprofit research organization, wrote in a recent New York Times op-ed piece.

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