1. The document discusses the Patient Protection and Affordable Care Act (PPACA), also known as Obamacare, and health reform efforts in both the U.S. and Utah. 2. Key aspects of the PPACA include expanding health insurance coverage, establishing health insurance exchanges, and imposing an individual mandate to purchase insurance. 3. The prognosis for the success of the PPACA is guarded due to ongoing political and legal challenges at both the federal and state levels.