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I agree that the healthcare systems in the United States are dynamic and evolving.

Its significant change


was in 2010 that included the creation of Affordable Care Act. Despite the fact that the act has made
significant improvement in the healthcare systems and specifically in the aspect of access and
affordability, still there exists persistent challenges on accessibility and affordability especially in the
mental health area. With the pandemic there is increased mental health cases due to the fact that many
people have lost employment and this affording healthcare services has become a challenge. This has
significantly magnified the role of psychiatric mental health nurse practitioner.

It therefore becomes the responsibility of every individual to stay up to date and communicating all
health issues go their congress men or women.

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