In 2010, President Barack Obama and his administration celebrated a historic moment when the Affordable Care Act (ACA) was signed into law, extending healthcare coverage to about 30 million Americans. During the White House signing ceremony, Obama expressed pride and relief, calling it “what change looks like.” Vice President Joe Biden’s famous remark—“This is a big deal”—captured the significance of the achievement. The administration viewed the law as both a moral and political victory, ensuri