All of the listed options represent challenges to the ACA going forward. Option 4.
The challenges facing the Affordable Care Act (ACA) going forward encompass legal, political, and affordability issues. Legal challenges involve ongoing debates and potential legal actions surrounding the ACA's constitutionality.
Political challenges arise from differing policy perspectives and potential legislative changes. Affordability remains a concern as premiums continue to rise, impacting accessibility for some individuals.
The combined effect of these challenges underscores the complexity and dynamic nature of healthcare policy, requiring ongoing adaptation and resolution to ensure the ACA's effectiveness and sustainability in providing accessible and affordable healthcare for all.