Introduction This paper will take into account the Affordable Care Act (ACA) Law and how all three branches of government are involved with the creation and analyze issues associated with the ACA. Subsequently the paper will describe the role of public opinion and lobbying groups. Thirdly this paper will evaluate the concepts of equity, efficiency, and effectiveness showcasing their role in the law and its passage. This paper will take into consideration the anticipated effects on cost, quality, and access, including discussing the balance of markets and the government. In closing this paper will highlight the anticipated effects on Medicare and aging as well as Medicaid and the poor. The ACA was signed on March 23, 2010 with the intention to offer all U.S. Citizens and residents a qualifying health care coverage plan. The law’s focus is to expand coverage, control health care cost, and improve health care delivery system. Three Branches of the Government Executive Branch: The President carries out federal laws and recommends new ones, as well as directs the national defense and foreign policy, and performs ceremonial duties. The President powers includes directing government, commanding the Armed Forces, dealing with international leaders, acting as chief law enforcement officer, and vetoing laws. Legislative Branch: Headed by Congress, the House of Representatives and the Senate. The main focus of these two bodies is to make the laws. The House of Representative’s powers include passing laws, originating spending bills (House), impeaching officials (Senate), and approving treaties (Senate). Judicial Branch: Headed by the Supreme Court and their main focus is to interpret the Constitution, reviewing laws, and decidi... ... middle of paper ... ...idm.oclc.org/ehost/pdfviewer/pdfviewer?sid =1e9c797a-730b-41c7-9b9f- beecbf7644b3%40sessionmgr111&vid=5&hid=116The Centers for Medicare & Medicaid Services (CMS), What’s Medicare? Retrieved: August 2013, https://www.medicare.gov/Pubs/pdf/11306.pdf Courts,” in Health Politics and Policy, 4th edition (James A. Morone, Theodor J. Litman, and Leonard S. Robins, eds., Delmar Cengage Learning, 2008 p. 128) The Henry J. Kaiser Family Foundation (March 26, 2010), Summary of New Health Reform Law, http://kaiserfamilyfoundation.files.wordpress.com/2011/04/8061-021.pdfC(P.L.111-148) The White House (n.d), The Legislative Branch, http://www.whitehouse.gov/our-government/legislative-branch World Health Organization. Health Systems: Improving Performance. The World Health Report Retrieved: 2000. From: http://www.who.int/mediacentre/factsheets/fs323/en/index.html. 11/22/2012.