Between the appeals court ruling on the Affordable Care Act’s individual mandate and the Democratic candidates’ health reform plans, 2019 was a tumultuous year in health care.

On To the Point, David Blumenthal, M.D., and Shanoor Seervai reflect on the year’s major events, including rising numbers of uninsured Americans, the upward trend in workers’ health insurance contributions, legislative activity around drug costs and surprise medical bills, and Silicon Valley’s attempts to bring digital transformation to health care.