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Case Study, Chapter 21, Health Care Reform: The Dismantling of the Affordable Care Act As we entered 2018, millions of Americans still relied on Affordable Care Act(ACA) subsidies, health premiums were soaring, and provider choice was more limited than ever.There was, however, momentum for reform. Health care was identified as the country’s leading priority for Democrats (54%) and the second highest priority for Republicans (42%) at the close of 2017. A group of registered nurses debate the issue of health care reform . 1. The nurses debate whether the country feels that health care reform is really necessary. Discuss reasons why reform is needed and what that reform should address. 2. What were the 10 essential benefits guaranteed by insurance plans in the ACA Health Care Marketplace? 3. What are the successes of the ACA? 4. What are the failures of the ACA?