Two effects that the 2013 government shutdown had on Americans include:
- A. The Affordable Care Act suffered permanent damage.
- D. Hospitals were unable to process federally funded payments such as Medicare.
<h3>What caused the 2013 government shutdown?</h3>
The 2013 government shutdown was caused by a lack of appropriated funds for running the government.
The lack of funds originated from the Senate's refusal to appropriate funds for the Affordable Care Act.
Thus, the two effects that the 2013 government shutdown had on Americans include Options A. and D.
Learn more about the 2013 government shutdown at brainly.com/question/16795357
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