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2017, President Trump

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In 2017, President Trump, after failing to repeal the Affordable Care Act in congress, took his own steps toward fulfilling his vow to dismantle Obamacare, signing an executive order that he says will bring affordable health insurance to millions more people. The order broadly tasks the administration with developing policies to increase health care competition and choice in order to improve the quality of health care and lower prices. However, it could also destabilize Obamacare by siphoning out younger and healthier Americans from the exchanges. How do you see the effect of this executive order so far?

Consider the following assertion from Health Policymaking in the United States: “Implementation of the Affordable Care Act (ACA)… is proving to be a monumental and challenging management undertaking (Jost 2014)” (textbook page 197). Based on what you know of the Affordable Care Act and the implementation process, why might this be? What about managing this act can be so “monumental and challenging”?

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