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The Affordable Care Act (ACA) is a landmark piece of comprehensive health care reform legislation that has been put into place to ensure the availability, affordability, and quality of health insurance for Americans. It was passed in 2010 and its main purpose was to extend coverage to those with pre-existing conditions or who were previously uninsured. The ACA includes three sections: expanded Medicaid eligibility; tax credits; and healthcare exchanges.

Expanded Medicaid eligibility offers coverage to those adults earning up to 133% of the federal poverty level, although some states have opted out due to cost concerns. Tax credits are available for individuals and families whose incomes are between 100-400% of the federal poverty level. This helps lower monthly premiums for those seeking private insurance plans through an exchange or through their employers. Healthcare exchanges allow people to compare prices from different companies so they can be sure they get the best deal possible on their health care plan.

The role of public policy in addressing misdistribution issues related to access to healthcare will be critical moving forward as these policies will provide assistance in making quality healthcare more accessible for individuals who cannot afford it otherwise. Furthermore, government subsidies could help offset costs associated with certain treatments such as mental health services which can often be prohibitively expensive without assistance. Another key factor impacting access is expanding primary care options by increasing funding opportunities within communities where there may not currently be sufficient providers or resources available. To do this, partnerships between local public entities such as community organizations and hospitals should also be explored further in order maximize potential impact on increased access overall populations across all regions within United States .

There are still many social-cultural issues that need addressing when it comes providing equitable access healthcare nationwide regardless of socioeconomic background . Often disparities exist based race , gender , age , disability status etc., all influencing how much individuals pay out pocket either way too much little . This is compounded fact that rural areas tend lack medical facilities which leads small towns having no choice but rely sole provider offer services at inflated price points compared rest country . Moreover , cultural stigmatization prevent certain groups from being comfortable accessing necessary preventive measures such vaccines even though they may be eligible free under ACA guidelines . Even tough ACA has taken huge steps towards achieving greater equality universal system patients must continue fight against discrimination if truly want see paradigm shift terms accessibility long run .

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