On March 23, 2010, President Barack Obama signed into law the Patient Protection and Affordable Care Act (PPACA), a primary healthcare reform legislation of the 111th U.S. Congress. This new law brings about massive changes in the way that healthcare is delivered and funded in our nation. To say that PPACA is controversial is to utter a huge understatement. Many U.S. states and private organizations have filed suit in Federal Court challenging the constitutionality of the Act. Just about everyone is affected by this law. What are the major impacts of PPACA on hospitals? What are the major impacts on doctors? What are the major impacts on patients? In your own view, will PPACA improve healthcare in America?