In this post in the Global Health Governance Blog, contributing blogger David Fidler, a professor of law at Indiana University’s Maurer School of Law, examines the potential implications of the Affordable Care Act (ACA) on global health law, writing, “In the midst of this constitutional and political moment, I find myself wondering what this seminal American case means, if anything, beyond the United States in the realm of global health.” He concludes, “The lack of clear and immediate connections between the ACA litigation and global health concerns should not blind us … to deeper, more tectonic implications of the ACA’s fate for global health. As in an increasing number of policy contexts, global health practitioners and advocates have much at stake in the outcome of the ACA controversies but no way to influence what happens” (3/28).