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This week, the top stories in managed care all revolved around the election. Donald Trump's presidency means the Affordable Care Act is expected to be replaced; voters in Colorado rejected a single-payer system; medical marijuana was passed in 4 states; and taxes for soda and tobacco had mixed responses from the states.

What we're reading, November 8, 2016: the US may not have a doctor shortage, it may just have an inefficient health system; there is a gap between the richest and poorest countries when it comes to spending on essential medicines; and scientists start another Zika virus vaccine test.

During the presidential election, healthcare will be top of mind especially for patients with access issues or significant health issues, Eleanor Perfetto, PhD, senior vice president of strategic initiatives for the National Health Council. As long as patients feel the healthcare system is engaging them and listening to them, they don't care what it is called.

Obesity is more than just a lifestyle disease. Ted Kyle, RPh, MBA, principal at ConscienHealth, explained that understanding its complexities as well as the behavioral and physical care it requires is essential in improving the health and productivity of employees.

The Affordable Care Act has helped reduce uninsurance, but has replaced it with underinsurance. Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and director of the Healthcare Markets and Regulation Lab in the Department of Health Care Policy at Harvard Medical School, explains how to address this new problem