When President Barack Obama signed the Affordable Care Act five years ago, he visualized a time when the political hyperbole would be silenced and ordinary people would see that the healthcare law improved their lives.
The White House ceremony on March 23, 2010, was an applause-filled celebration. "When I sign this bill," Obama said, "all of the overheated rhetoric over reform will finally confront the reality of reform."
But the polemic around "Obamacare" hasn't cooled much, and the permanence of the president's achievement remains in question as the nation awaits the outcome of a Supreme Court case that could jeopardize insurance for nearly 8 million people.
Here's a look at the healthcare law, then and now:
Then: 49.9 million people were uninsured in 2010, according to the Census Bureau.
Now: That's down significantly, to somewhere between 30 million and 40 million people.
The administration recently estimated that 16.4 million adults have gained insurance since the law's coverage provisions took effect.
Measuring differently, data from a large daily survey called the Gallup-Healthways Well-Being Index suggests a more modest impact: The uninsured rate dropped from 16.3% in early 2010 to 12.3% this year among adults 18-64, which translates to about 9.7 million fewer uninsured.
But the law's precise impact may not be clear for a few years, partly because census surveys take time.