IV.  Conclusion

I am cautiously optimistic. The ACA provides a framework for ensuring a culturally competent health care workforce. What happens next depends on how much the general population recognizes the seriousness of the problem. Many of the provisions of the ACA only give Congress authorization to appropriate funds. That means that the provisions must face the annual appropriations process if they are ever to take effect.

The ACA is a start, not a solution to the problem. We cannot rely solely on legislation to remove years of distrust between patients and health care providers. Because the solutions are long-term, in the interim work is to be done by lawyers and policymakers to ensure access to care for all individuals.

a1Assistant Professor, Charlotte School of Law. B.B.A. magna cum laude, Millsaps College; J.D., Georgetown University Law Center.