The health care enterprise consists of an array of services and products intended to prevent, diagnose, treat, and conduct research on medical ailments. This enterprise encompasses preventive interventions, acute and chronic diagnostic services and treatment delivered in both inpatient and outpatient settings, biomedical and behavioral research, institutional and community-based long-term care, and mental health and addiction services. The American health care enterprise consists of participants drawn from the governmental, private not-for-profit, and proprietary (for-profit) sectors. The primary, tripartite goal of the health care enterprise is to deliver high quality health care services that are affordable and accessible to the public. This seminar will explore the ways in which recent federal and state legal and programmatic developments, as well as initiatives mounted by private actors (such as insurance companies, health care corporations, and employers), are likely to impact the accomplishment of the quality/affordability/access goal. At the federal level, main emphasis will be placed on the Affordable Care Act and the American Recovery and Reinvestment Act. Following several class sessions during which students will discuss background material, the bulk of the seminar will consist of students preparing individual written papers on topics of their selection and making class presentations based on those papers.