congress was with him. even after 70 years, the ama was with him. but the right wing was united in opposition. opponents warned of death panels, socialism, a government takeover of health care. even as democrats abandoned liberal priorities like the public option, the ugly debate raged on. the law improbable survived a series of near-death experiences until democrats finally pushed through a bill by a whisker in march 2010 and the president signed the affordable care act into law. that was three and a half years ago. the fight didn't end when the bill became a law. it has survived 40 republicans attempt to appeal it, a challenge by the u.s. support and today with the u.s. government should down in an ill-fated last gas effort for republicans to stop it, the obama care exchanges are open for business.