The document discusses several issues affecting Americans: 1) The Trump administration has fought to eliminate the Affordable Care Act but has not yet replaced it, leaving healthcare in limbo. 2) High healthcare costs remain a problem, and the new proposals may prevent low-income Americans from accessing quality care. 3) Rising tensions with North Korea over its nuclear program have increased national security concerns among Americans. While sanctions have been imposed, negotiations have proved difficult. 4) Trust in American leadership has declined both domestically and globally under President Trump due to disputes between different levels of government.

1. ISSUES AFFECTING AMERICANS

2. HEALTHCARE SYSTEMS
 The Trump Government have
been fighting for the elimination of
the Affordable Care Act (ACA)
which was introduced by the
Obama Government.
 The system has improved quality
care; providing a chance to many
Americans for them to access
quality health care and health
insurance through the regulation
of the healthcare industry.
 The President has been fighting
the Act without taking necessary
steps to repeal or replace it.
 The government is finding
alternatives that would replace the
Act with short term insurance with
short-term policies.

3. HIGH COST OF HEALTHCARE
 Studies have shown that
Obama care benefits a large
of people by providing them
with appropriate health care.
Many of the youth and
Healthy citizens. With the
entrance of Trump, he has
proposed changes where
Americans will find
coverage's that suits their
needs.
 With the introduction of new
Healthcare, the plan will
prevent people with low
income from getting good
healthcare.

4. NATIONAL SECURITY
 there has been a possibility if
looming nuclear war between
America and North Korea.
 Kim Jong-Un seems not ready to
negotiate about war and
surrender; this has created
tension among Americans.
 However, the Americans are
creating sanctions towards North
Korea to see if they can
surrender.
 They are also conducting direct
negotiations between he two
countries with experts saying
that it would be difficult for North
Korea to surrender their Nuclear
weapons.

5. LEADERSHIP WRANGLES
 With the leadership of President
Trump, the global confidence level has
fallen to 30% from 48% under the
leadership of Obama.
 This has been attributed to the
leadership disputes within the Trump
administration. Between the federal,
state and local government.
 Each level of government has a role to
play. However, different governments
have different roles. Coming up with
good health plans to ensure their
citizens receive quality health care.

6. LOOMING ECONOMY
 The Economy of USA is seen to
be falling, with the recent president,
Donald Trump started global trade
war which was followed by
pleadings and threats.
 America is considering China as a
threat to their economy with
recently alleged punishment by
Trump to China due to their alleged
theft of American corporates.

7. REFERENCES
 Amadeo, K. (2018). Donald Trump on Health Care
How Trump's Health Care Policies Will Raise
Premium Prices for You. The balance, April 16.
 Curtis, R. (2017). PSCI 210.01: Intro to American
Government.
 Macdonald, D. S. (2018). The Koreans:
Contemporary politics and society. Routledge.
 Tang, N., Eisenberg, J. M. & Meyer, G. S.
(2004). The roles of government in improving health
care quality and safety. Joint Commission Journal
on Quality and Patient Safety. Volume 40 (1): 47-55