If you haven't read @CitizenCohn's interview with president Obama on the lessons of Obamacare yet, you should. huffpost.com/entry/obama-in…
"If you ask me what has contributed to the cynicism ― of government, and to some degree what contributed to the cynicism around the health care initiative ― it’s the fact that a small minority of people can put a halt to everything," says Obama.
One important, but less sexy, theme in there is that the mixture of endless partisan opposition and paralyzed institutions make it really hard to do iterative legislating. But we need to do that! There's got to be a feedback loop between implementation and tweaking. 
This is adapted from @CitizenCohn's definitive history of Obamacare, which comes out next week. I've read it. It's fantastic, both on the law, and its broader lessons for policymaking. No wonk should be without it. read.macmillan.com/lp/ten-year-wa…
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