Under the new leadership of Republican candidate President Donald Trump, the healthcare industry may experience serious changes to the Affordable Care Act. With a republican majority in both the house and senate, we can expect to see a move toward more mergers and consolidations in the healthcare industry. With regards to the ACA, Dr. Gary Kaplan, CEO of the not-for-profit Virginia Mason Health System in Seattle said, “I think that we can put together great minds and make some further improvements and hopefully take it out of being a political football.” The changes that Donald Trump talked about throughout the presidential race included repealing and replacing of the ACA. I think the ACA will require modifications to its current state before repeals are carried out. This will be a slow process in modifying the ACA and the Republican House will need to figure out ways to help people afford and maintain their coverage.