In this month's Editorial, PLOS Medicine Academic Editor Zirui Song and his colleague Adrianna McIntyre discuss outcomes and possible futures for the United States Affordable Care Act as it nears the ten year mark.

The historic job losses accompanying the coronavirus disease 2019 (COVID-19) pandemic have raised concerns that the number of uninsured US residents will increase substantially in 2020-but there are no official real-time mechanisms for tracking the nation's uninsured rate. Unlike assessing unemployment claims or Medicaid enrollment, measuring the overall share of people without insurance relies on time-consuming and imperfect household surveys. Understanding the limitations of the available data is especially critical during a fast-changing health and economic crisis like the current one.

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