Balancing the principles of Federalism and intergovernmental relations under the Affordable Care Act

The Patient Protection and Affordable Care Act of 2010 is considered the most comprehensive piece of healthcare legislation aimed at providing a universal coverage for the American people. Nonetheless, the controversy surrounding the implementation of this Act stems from the principles of federalism and intergovernmental relations that is inherent in the constitution. As a result, the various states decision to run their exchanges creates disparities in healthcare costs and accessibility. This paper argues that federal interventions do not provide an answer to these anomalies but suggests that the leadership failure in the implementation could be addressed through a Christian worldview.