Date of Award


Document Type

Open Access

Degree Name

Bachelor of Arts


Political Science

First Advisor

Anthony Dell'Aera




care, reform, health, ACA, formation


Through the lens of access, quality, and cost I will present and outline the various historical approaches to health care reform, how they have contributed to the formation of our current system, and a preliminary evaluation of the Affordable Care Act. Specifically, I will be analyzing these major reforms in relation to, and their impact, on healthcare payers and providers. By understanding prior health care reform, it will provide the necessary foundation to properly investigate the prospects of success for the ACA. In order to address these questions, I investigated the evolution of the medical professional and modern hospitals, the attempts at major health care reform during the 20th and 21st Century, as well as the design of the contemporary health care system. Furthermore, I outlined the problems that precipitated the call for the ACA, as well as analyzed the formation of reform and its provisions. Lastly, utilizing existing economic literature focused on the ACA, I attempt to discover preliminary trends to gain a better understanding of the ACA’s effectiveness, its prospects for the future, and the ways in which it may require reform.