Centralized Healthcare. Drawing Physicians to Rural America with the AHA. Written & illustrated by Laura Maaske, MSc.BMC, Medical Illustrator & Medical Animator| e-Textbook Design This October 1st opened enrollment of the Affordable Health Care Act (ACA), which is the most sweeping social change for Americans since the Social Security Act Roosevelt signed in in 1935. The AMA has praised this event as historic. And with the government taking a stronger control in healthcare, there will be a guiding hand.