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The cost-benefit analysis in terms of legislators being reelected had a major impact on efforts to repeal/replace the ACA. With politics at play, legislators have to weigh their options and think strategically about how their decisions will affect their chances of being re-elected. In this case, they may be hesitant to vote against an act that is popular with voters due to potential political backlash. It would be politically risky for legislators who are up for reelection to thwart a proposal or policy that is beneficial to constituents; consequently, the focus was on repealing and replacing the ACA instead of making modifications. Moreover, it is important for elected officials to solicit feedback from constituents as it gives them insight into specific needs and concerns that could influence decisions about proposed policy changes.

Analyses of voter views can also significantly affect decisions by legislative leaders in recommending or positioning national policies such as Congress’ decisions impacting Medicare or Medicaid. Voters from all over the nation will be impacted greatly by any changes made so understanding what these people want and need should be taken into consideration when formulating public policy goals and objectives. When politicians have a better understanding of how certain demographics view different laws and regulations they become more informed when deciding if implementing those laws are worth their time, effort, and money spent on campaigning. Therefore, legislative leaders must take voter opinions into account while suggesting or supporting national policies especially those concerning healthcare programs like Medicare and Medicaid which many depend on in order to receive necessary treatments

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