Getting the Affordable Care Act to President Obama’s desk was no easy task. Generations of Presidents, members of Congress, and advocates had tried and failed to fix the American health care system. This attempt might not have been any different, had it not been for the support of nearly 3.5 million everyday Americans who made their voices heard in the halls of Congress. In the final 10 days of an 11-month battle for reform, OFA supporters made nearly 500,000 calls to members of Congress, wrote 324,000 letters to Congress, and hosted nearly 1,200 local events in support of health reform. And on March 23, President Obama’s signature made the Affordable Care Act the law of the land—joined by the co-signatures of more than 1.1 million OFA supporters who had stood alongside the President every step of the way.