One of the biggest areas of contention in Washington has been over President Obama's Healthcare Reform law. His re-election eliminates any repeal of the law, but leaves questions about how many of the changes will be implemented.

Republicans who retained control of the house of representatives are expected to press for Healthcare Reform concessions during negotiations to cut the federal deficit later this month. This includes delaying and scaling back a planned expansion of Medicaid.

Local Cardiologist, Dr. Phillip Rozeman says how the law is implemented will have long term consequences."You can't just take health care and set aside from the rest of the budget and the rest of America; it's all intertwined as it relates to deficits, job creation, costs and all of those things," said Rozeman.

The law expands health coverage to more than 30 million uninsured Americans beginning January 1, 2014.