Throughout this week , you read about managed care and third -party players , the basic components of insurance . Up until recent years the only options for the uninsured , if they qualified for it , we're Medicare and Medicaid . With the passage of the Affordable Care Act , the landscape of insurance is changing . For this week's written assignment , read the following article :" Hamel , M. E.. Blumenthal , D., Abrams , M., & NUZum , R. ( 2015 ) . The Affordable Care Act at 5 years . The NEW England Journal of Medicine , 372 , 2451 - 2458 . Retrieved from http : / / www. nejm . org After reading the article , answer the following questions :" 1 . What are your initial thoughts from the article ? 2 . How do you think the Affordable Care Act improves health care for Americans ? 3 . Who do you think will benefit the most from the Affordable Care Act ? Why ? 4 . Why are some states slower to participate than others ? 5 . If you could create a healthcare plan for the United States , what would it include , who would be covered