The Affordable Care Act (ACA) is the most monumental piece of U.S. federal health policymaking in nearly 50 years. The implementation of the ACA, or any efforts to repeal or replace it, will have an impact on the lives of tens of millions of Americans. Health care reform has been—and will continue to be—an ongoing, dynamic process for the federal government, states, employers, insurers, providers, patients and others. This concise, 56-page examination of health reform in the Unit ed States is a comprehensive look at the key components of the ACA and the political climate regarding its potential repeal. It also explores all previous attempts at health reform, as well as the core rulings of multiple U.S. Supreme Court decisions related to the Affordable Care Act, and key issues going forward. Newly updated for 2018, this classroom tested material offers learning objectives, a vignette, and many discussion questions that will spark student dialogue and critical thinking. This unique analysis is updated regularly and serves as an excellent supplement to any textbook for courses across the spectrum of the health care disciplines, including Public Health, Health Administration, Medicine, Nursing, and other Health Professions.