I don’t have the text book but the reading comes from:

• Niles text, Basics of the U.S. Health Care System (3rd ed.),
• Chapter 2, “Impact of the Affordable Care Act on Healthcare Services,” pages 29–56.

The question is:

• You have read how healthcare has changed over the last century. In two or three paragraphs, identify what you think is the most significant or important change. In your response, consider the effects on both individual and population health.