Why is sleep characterized as an altered state of consciousness?

my hamster died and my second hamster i got after that one died as well. i also lost two birds named rainbow and kiwi, (they didn't die, they flew off and escaped). i lost a cat named omi, and a dog named snoopie. the best way i got over it is, paying my respects, and just thinking that they were in a happy place. as well as just remembering but not thinking about it all the time, just do fun activities and try not to think about it too much. hope you feel better. i'm sorry about your loss. : (

,identify or describe the affordable care act. how has aca changed healthcare in the us since implementation? you may professionally express your opinion on aca, do you think it will or hurt patient care?