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The delivery of health care in American is a daily concern for many people in America. With the Affordable Care Act (ACA) in 2010 many uninsured Americans were able to receive  heath care that had not been an option before this law was passed. The Centers For Disease Control and Prevention says " The number of uninsured persons has declined in the past year. In 2015, 28.6 million persons of all ages (9.1%) were uninsured at the time of interview—7.4 million fewer persons than in 2014 (CDC, 2015)". this law is on the table to be repelled or replaced by our government potentionly removing people who depend on it for life saving medical care. Americas health care delivery, finance, management and/or sustainability  system is influenced by the US government policy and continues to be a major issue of voters. The Kaiser Family Foundation states" President Donald Trump and Republican Congressional leaders have promised to repeal the 2010 health care law called the Affordable Care Act (or Obamacare) and replace it with an alternative that has not yet been specified KFF.org, 2017).

 According to the Centers For Disease Control and Prevention“The social determinants of health are the circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness.(CDC, 2016). These determinants are present factors in people living in low socioeconomic areas from receiving adequate medical with the ACA in place. In our previous discussion we learned that at risk and vulnerable populations are the elderly, children, working poor, disabled etc who do not seek medical care until the illness can no longer be ignored. Most of the uninsured are working families with children that don't  qualify for government insurance programs because of the amount of limited income, young adults, ages 18-35 who are not interested, understand the value of health care or can't afford coverage.(CDC,2015). Those who are have insurance may not seek preventative care because of high co pay, deductibles or co insurance which could keep people healthy, disease prevention or progression saving billions per year(CDC, 2013). i can not say who would be the best in management of the healthcare system, the government or medical professionals? Each would have to deal with the cost effective treatment related to taxes, neither will win because there will always be people on each side unhappy with the out come. I believe we as a nation will be able to sustain our health care system just by preventative care we can add $260 billion a year to our economy (CDC, 2013). Besides how much is a life worth when it is someone you love and care about? This should apply to all human beings no matter if a personal relationship exists. 

"The barriers the uninsured face means they are less likely to receive preventive care, are more likely to be hospitalized for conditions that could have been prevented, and are more likely to die in the hospital than those with insurance(CDC, 2013)". We should love, give a helping hand and do the best we can to ensure everyone life has value.

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