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The article discusses the impact that the 2018 U.S. Congress' midterm elections are having on health care in America, and it mentions how Democrats claim that Republicans pose a risk to the protections afforded by the U.S. Patient Protection and Affordable Care Act. Pre-existing conditions are addressed, along with information about the Democrats' regaining of control of the U.S. House of Representatives. The political aspects of health care and social security are assessed.

The article discusses what the author refers to as the potential impact that human genetic prediction will have on America's insurance markets, and it mentions coverage for preexisting conditions under the U.S. Patient Protection and Affordable Care Act, as well as DNA analyses. Artificial intelligence (AI)-informed insurance pricing and an individual's polygenic score (PGS) are examined, along with body mass index and America's Genetic Information NonDiscrimination Act.

The article reports on the effort of the U.S. Republican government to make several chnges in the U.S. Affordable Care Act and to modernize the Medicaid. It mentions the plan of the U.S. to repeal and replace the Affordable Care Act (ACA) with the intent to empower the 50 states to use federal funds to reengineer their Medicaid and individual health insurance markets as they see fit.