Americans have dueling and irreconcilable expectations of the healthcare industry. On the one hand, they believe that access to healthcare should be an affordable and accessible entitlement—their privilege as American citizens. On the other hand, when Americans seek treatment, they expect it to be flawless—they demand the best physicians and the best care centers.

However, since the passage of the Medicare legislation in 1965, Americans have been unable to agree on how people should receive healthcare and who should receive it. The Patient Protection and Affordable Care Act of 2010 (ACA), known as “Obamacare,” is the latest healthcare fix. In response, Americans elected Republican Donald Trump—who ran on repealing “Obamacare”—to the presidency just six years later. Now, especially as the COVID-19 pandemic exposes many of the failures within the current United States healthcare systems, Americans are once again debating healthcare and asking, “what should this look like?” Should the federal government create universal single-payer healthcare plans? Or would it be better to cut Medicare and Medicaid spending and reduce the number of insured?

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