Politics and the Patient Protection and Affordable Care ActInefficiency in public decision-makinghas been a huge concern for the members of the public(Mouter, 2019). Public policies have faced challenges due to unassertiveness of politicians especially legislatures who are in charge of policy making(Mouter, 2019). Politicians are increasingly becoming vulnerable to voters views and influence of interest groups. When president Trump won the election, there was an immediate call for the repeal/replace the Affordable Care Act (ACA). The House of Representative was the first to act by passing the American Healthcare Act (AHA)(AAFP, 2017). The bill moved to the US Senate on 24th July, 2017 and was debated. However, on 28th July, 2017, the chairman of the HELP Committee Senator Alexander Lamar and Ranking Member Patty Murray (both proponents of AHA and Republican members) announced that they would pursue a bipartisan approach fix the ACA(AAFP, 2017). The actions of the two legislators clearly demonstrates the effect of cost-benefit analysis in politics. ACA or Obamacare is a widely popular bill that the politicians who wanted to repeal or replace it began to withdraw their stance. The politicians like Senators Lamar and Murray knew that their continuous pursue to repeal or replace ACA