Healthcare spending is at all-time highs, yet millions of patients struggle to afford the medications they need to stay alive and healthy, and many diseases still lack cures. Wanting to solve these problems, you run for United States Congress and win a seat in the House of Representatives. Congratulations!

Throughout your term, you will vote for or against nine proposed bills. In every case, you will cast the deciding vote. Essentially, you're in charge! Your goal is to increase the affordability of medications to patients, maintain the innovation of new medicines, and try to work within the government’s long-term budgetary constraints.