What effect does lack of public confidence in government have on our government’s policy capacity? What could be done to restore public confidence? How can our government’s policy capacity be improved? 2. What role has private insurance play in the Affordable Care Act and why are premiums rising? 3. Medicare and Medicaid are headed for bankruptcy unless rising health care costs can be contained. How would you go about doing this? 4. Why should the United States control the rising costs of health care?