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Affordable Care Act – too big to fail and too big to ignore


How does the Affordable Care Act affect me and my community? Well, that is a big question with a big answer. ACA is big, it is more than the marketplace and mandates – which, by the way, is still the law. It is a whole system of care and infrastructure and problem solving intended to make us healthier as a nation.

Jana Lynn Granillo

Jana Lynn Granillo

When I think of the ACA, what churns to the top of my thoughts are vulnerable populations, my neighbors, my own insurance, and where I live.

When I hear students playing in the schoolyard, I know many are economically disadvantaged. We have a shockingly large percentage of students on Free and Reduced Lunch. How many of those children are on AHCCCS/Medicaid or participate in the ACA Marketplace?

When I commute, I drive by community health centers, also known as Federally Qualified Health Centers. ACA funding impacts these clinics.

When I grocery shop, I see seniors counting their pennies with clipped coupons. Which seniors will endure a fall or become victim to MRSA, a staph infection?  How many of them are Medicare and Medicaid dual eligible?

When I hear a first-responder siren, I think about behavioral health.  According a recent report on the opioid crisis, my community is on a data map and it is colored red. Does the siren tell of another victim? Does that victim have behavioral health options or even a treatment bed for evaluation?

When I choose doctors, I wonder if they were part of the National Service Corp.

What about treatment options? Is there a new medication on the horizon for a chronic condition or disease by the National Institute of Health? Will my elderly relative have to travel to Phoenix to get treatment that is not available in the rural areas?

Will the county hospital financially be in the “green” this year or do we take a hit on our property taxes to support the district? Will they receive Disproportionate Share Payments  for serving the underserved? What funding will be available?

What about all those medically served by the fire department, especially those who don’t have a point of care – who pays for that?

Finally, I ponder, will our family (employer) insurance be there tomorrow? I can’t afford a premium without help.

So, does ACA affect me, my family and my community? Answer: BIG yes!

How do we go forward? The answer is to include experts from multiple health disciplines to define reform around a common goal: affordable quality health care systems that are responsible, provide short-term stabilization and long-term solutions that protect all us.

— Jana Lynn Granillo is a health community advocate.


  1. The “Affordable Care Act” is legislation that was passed under false pretenses and must be repealed based on just that alone. When a realtor lies about the condition of property he/she is selling in order to make a sale, that realtor is committing fraud and the contract is considered null and void by law. It is no different when Obama lied about what citizens of this nation could expect if they jumped on board with supporting this legislation. The passage of “Obamacare” was actually a criminal enterprise and should not be continued nor further propagated!!!

  2. The federal government has no Constitutional authority to regulate or provide healthcare services or healthcare insurance. The ACA is just another case of Washington exceeding the authority granted to it by the people. As James Madison explained when arguing for the ratification of the Constiution, “The powers delegated by the proposed Constitution to the federal government are few and defined. Those which are to remain in the State governments are numerous and indefinite. The former will be exercised principally on external objects, as war, peace, negotiation and foreign commerce. …The powers reserved to the several States will extend to all the objects which in the ordinary course of affairs, concern the lives and liberties, and properties of the people, and the internal order, improvement and prosperity of the State.”

  3. Vince, Just how do you compare a realtor who sells a home for a profit to a president trying to help others receive a human right. You are out numbered my friend. There are more people that want health care and have been able to get healthcare since ACA began. You are the ones that made up the false pretenses. The ACA was just a start. Go with it and make it even better.

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