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President Trump described the Affordable Care Act (ACA) as a “disaster” or even “dead” and, despite campaign pledges, a replacement plan never surfaced.

Meanwhile, “Zero progress was made in dealing with the spiraling costs of health care, particularly prescription drugs, the growing problem of underinsurance, and out-of-network ‘surprise’ billing,” according to IU McKinney Professor Nicolas Terry, in a new op-ed for The Hill.

Professor Terry offered his view of what a Biden presidency might bring, including “a swift end to those dismantling tactics as well as the destructive escalations that were, no doubt, planned to follow.” However, the survival of the ACA is a long way from guaranteed, with the conservative Supreme Court and a still-divided Congress standing in the way.

Professor Terry is the Hall Render Professor of Law and Executive Director of the Hall Center for Law and Health at IU McKinney, where he teaches healthcare and health policy courses. His recent scholarship has dealt with health privacy, mobile health, the Internet of Things, Big Data, AI, and the opioid overdose epidemic.

He is one of the permanent bloggers at the Bill of Health blog and is a host of “The Week in Health Law” podcast at TWIHL.com. He is @nicolasterry on twitter.