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As Americans live longer, a greater strain is placed on the healthcare system, particularly in the areas of funding and labor resource shortages. When examining the hazards and opportunities associated with shifting healthcare expenditure to government, keep in mind that reimbursement may be the single most influential force in how, when, and where services are provided. How have public and private healthcare reimbursement sources, such as Medicare and Medicaid, and the changes to healthcare insurance accessibility from the Patient Protection and Affordable Care Act, influenced the way that healthcare is delivered to an aging population?