Significance for public health there has been a growing awareness that improving population health is of significant importance to the development of a society particularly for developing countries where the health care system is underdeveloped fragile or vulnerable. The affordable care act is the nations health reform law enacted in march 2010 the law aims to reform both our private and public health insurance systems the law aims to reform both our private and public health insurance systems. Pledges and urges apha membership units and members to engage in the health care reform debate by building and working with coalitions and providing input to guide health care reform policy agendas and advocacy work to protect vulnerable populations and communities and to identify public health initiatives to include in existing reform agendas. During the past century public health has faced numerous challenges and has made much progress childhood immunizations antibiotics fortified foods and clean water are just a few of the public health advances of the 20th century that have extended life expectancy from 45 years at the turn of the century to more than 75 years today. Most of us equate health care reform with universal healthcare in fact not only are they not the same thing health care reform is actually comprised of at least a dozen components and universal healthcare is not even one of them
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