The April 5, 2010, cover of TIME
Cover Credit: PHOTO-ILLUSTRATION BY ANN ELLIOTT CUTTING FOR TIME. INSET: BRYCE DUFFY FOR TIME.
By Lily Rothman
March 23, 2015

When President Obama signed the Affordable Care Act on March 23, 2010, it was obvious that making “Obamacare” official was still only the beginning of the law’s story. “Now for the really hard part,” TIME proclaimed in a cover story about the new law.

Looking back at that story by Karen Tumulty and Kate Pickert that announced the law’s arrival, it’s noteworthy just how tempered expectations were.

As TIME explained:

The charts that accompanied the 2010 story included predictions for 2019. There number of uninsured Americans was predicted to drop by 28 million — from 50 million at the time of publication, to 22 million — during that time. If those changes happened steadily over the intervening nine years, about 15 and a half million Americans would have gained insurance in the first five years.

Just last week, the Department of Health and Human Services announced that about 16.4 million previously uninsured people have already gained insurance since the law was passed.

Read TIME’s 2010 cover story about the new health-care law, here in the TIME Vault: What Health Care Means for You

Write to Lily Rothman at lily.rothman@time.com.

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