The 2012 Presidential Election promises major changes in the US health care system. If President Barack Obama wins re-election, the provisions of the Affordable Care Act (ACA) will begin to be put in place. Governor Mitt Romney, his challenger, has vowed to repeal the ACA. In addition to the fate of the ACA, other looming issues, such as budget sequestration and Medicare, will profoundly affect the US health care system—regardless of which candidate wins the presidency. In this PTJ election podcast, Justin Moore, Roger Herr, and Moderator Rebecca Craik go beyond an analysis of the candidates’ health care platforms to discuss the impact of the election and these other important issues on the health care system and the physical therapy profession.