It’s been 10 years since the passage of the ACA — a highly controversial piece of legislation that represented — depending on your perspective — a sweeping, bureaucratic intrusion into the healthcare industry at taxpayer expense, or an opportunity to expand healthcare coverage, curb insurance abuses, and pave the way to a new delivery model through experimentation. The ACA was sold as being built upon our existing healthcare delivery framework. One of the problems with this was that the framework itself was (and still is) fundamentally flawed.

This article was originally published on Forbes.com.