President-elect Joe Biden says he is committed to strengthening the Affordable Care Act so that all Americans can get the health care they need. He also wants to work with people of all political stripes: in his acceptance speech, he said it’s time “to listen to each other again.”

This week on The Dose podcast, we’re bringing back an earlier episode on the compromise required to bring about big political change — in this case, change in U.S. health care.

The Commonwealth Fund’s Elizabeth Fowler, a key architect of Obamacare, talks about the behind-the-scenes effort it took to get the landmark law passed.