Trish Riley of George Washington University and formerly the Director of the Maine Governor's Office of Health Policy and Finance discusses the history of health reform efforts in the United States. Riley argues that the Affordable Care Act (ACA) was needed because of gaps in coverage and because Americans pay more for their healthcare but get less in return. Riley cites statistics that $750 billion in healthcare is wasted annually, providing unnecessary care and paying unnecessary administrative costs, among other factors. Riley says she is an optimist about the ability of the ACA to address many of the nation's healthcare issues.

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