The government is a significant payor source in healthcare. Through Medicare and Medicaid the government is picking up the tab for a significant amount of care delivered in the United States. Consider the Patient Protection and Affordable Care Act, signed into law in 2010 and evaluate the prospects for the future of government's role as a payor source? What are the hazards and opportunities associated with shifting healthcare expenditure to government? What are the hazards and opportunities associated with shifting healthcare expenditure away from government to private insurance companies and individuals?