This episode closes the subsection on Obamacare by focusing on Jane Addams, the Gilded Age reformer who built Hull House and argued that health is a social condition. It explains how she would defend the Affordable Care Act as a moral step toward shared responsibility while critiquing its limits.

Addams would praise expanded access and public concern for health but insist the ACA treats symptoms, not causes: housing, wages, education, and labor conditions. She would call for universal, unstigmatized, reliable care as democratic infrastructure and challenge us to expand our collective imagination for justice.