Has Medicaid expansion in states improved health outcomes?

Every September 17, Americans mark Constitution Day—the anniversary of the signing of our nation’s foundational charter in 1787. The day is often commemorated with classroom lessons and speaking events, but it is more than a ceremonial anniversary. It is an invitation to ask: What does it mean to live under a constitution that was designed as a charge for each generation to study, debate, and uphold its principles? This year, as we look toward the semiquincentennial of our nation in 2026, the question feels especially urgent.

The decade between 1776 and 1787 was defined by a period of bold and intentional nation and national identity building. In that time, the United States declared independence, crafted its first national government, won a war to make their independence a reality, threw out the first government when it failed, and forged a new federal government to lead the nation. We stand at a similar inflection point. The coming decade, from the nation’s semiquincentennial in 2026 to the Constitution’s in 2037, offers a parallel opportunity to reimagine and reinvigorate our American civic culture. Amid the challenges we face today, there’s an opportunity to study, reflect, and prepare to write the next chapters in our American story—it is as much about the past 250 years, as it is about the next 250 years. It will require the same kind of audacious commitment to building for the future that was present at the nation’s outset.