Through choices of individuals, organizations, and interest groups the Advanced Nurse Practitioner can make a difference in policies. With eighty-five percent of uninsured adults either having delays or going without necessary medical care, forty-eight percent reporting having medical debt or having trouble paying their medical bills, and twenty nine million reporting to have depleted their life savings on medical costs in 2010, the need for Advanced Nurse Practitioner’s involvement has never been greater. In the legal process, Congress is the ones making the legal decisions with the bill (Stevens. 2015). Also, in Stevens (2015) powerpoint she states that there are “Ten Universal Commandments of Politics”. They consists of “ the personal is political, in politics, friends come and go but enemies accumulate, politics is the heart of the possible, be polite, be persistent, be persuasive, ignore your mother's instructions, talk to strangers, money is the mother’s milk of politics, negotiate visibility, politics has a “chit economy”, so keep track, reputations are permanent, and don’t let em get to you”.…