According to a study recently released by the Urban Institute, contrary to the views of critics, the ACA is not a heavy-handed takeover of health care, but rather a market-oriented solution akin to "Reagan-era reform proposals." Citing, among other provisions of the law, the establishment of health insurance exchanges to promote competition among private health plans, the study asserts that "the ACA relies primarily on the private market to achieve coverage expansion, using public regulation to make the market work."