In 2010 the Affordable Care Act (ACA), or Obamacare, passed after a contentious battle in Congress, representing the most significant reform of the U.S. health care system in decades. Six years after its implementation, how has this landmark legislation changed the nature of accessing health care?

In a new video filmed for the 2016 meeting of the American Sociological Association, RSF trustee Peter Orszag (Managing Director and Vice Chairman of Investment Banking at Lazard) discusses some of the outcomes of the ACA. He finds that several of the initial worries regarding the rollout of the ACA—including fears that employer-sponsored health care would collapse, or that patients’ out-of-pocket costs would skyrocket—have been unfounded. He also explores why the political and media response to the ACA over the last half decade has not mirrored the response to past health care legislation.