The primary reason why the 2010 Affordable Care Act stands as one of the most important domestic policy plans in recent history is because it was the first of its kind. Universal healthcare had never existed in the United States before.
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In the substantially revised fourth edition of this widely-used book, Norman Barry provides a comprehensive introduction to contemporary political theory including systematic coverage of the philosophical background to contemporary debates between liberals, conservatives, communitarians, socialists, and feminists
No one can quite answer your question due to a lack of information on who Thomas is and what the Hartford Convention's demands are.
