The Affordable Care Act is a massive step forward in assuring that an essential human service like heath care is accessible to all Americans. Before its passage, health care in the United States left too many people out despite runaway costs. Still, we often heard that the US had the best health care in the world. Some referred to it as the best health care money can buy. Sadly, there was no evidence that either of those statements were true. Rather, as a nation we were ranked 37th in actual health outcomes and health indicators despite vastly outspending other nations that provided health coverage for all. The Affordable Care Act addresses all 3 of these issues through a three-legged stool of access, quality and cost-effectiveness, often referred to as the triple aim of better health care, better health and lower costs. The American people are now fully experiencing ACA's personal benefits, especially affordable coverage, not being turned away because of a pre-existing condition and no lifetime caps. At the same time, government spending on health care is being reined in and is slowing down. And there are an array of quality provisions being implemented. Early indicators show that ACA is working. Congress should continue to track its return on investment and the overall impact on the health of our nation.