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ByDavidR.Williams,MarkB.McClellan,andAliceM.RivlinBeyondTheAffordableCareAct:AchievingRealImprovementsInAmericans’HealthABSTRACTImprovedaccesstohealthcareisessentialifwearetofillthestrikinggapsbetweenhowhealthyAmericansareandhowhealthytheycouldbe.Butaccessaloneisnotenough.HealthandlongevityarealsoprofoundlyinfluencedbywhereandhowAmericanslive,learn,work,andplay.Recognizingthis,theRobertWoodJohnsonFoundation’sCommissiontoBuildaHealthierAmericahasidentifiedconcrete,feasibleactionsoutsideofmedicalcarethatconstituteanurgentagendaforimprovingAmerica’shealth.Theserecommendationsrequireactionatalllevelsofsocietytopromotedevelopmentandhealthinchildhood,goodnutrition,andcommunitiesconducivetogoodhealth.WiththeenactmentofthePatientProtectionandAf-fordableCareActof2010,es-timatessuggestthatthirty-twomillionAmericanswillacquirehealthinsurancecoverageby2018.Thiswouldreducetheproportionofuninsuredpeo-pletoabout6percentoftheU.S.population.Butexpandedcoveragealonewillnotmakethisahealthynation.Although...