 Since its relaunch in 2001, the Alliance has been very active politically.It fought against the Republican-endorsed Medicare prescription drug benefit in 2005, and President George W. Bush's Social Security privatization-reform plan in 2004.The Alliance endorsed the Patient Protection and Affordable Care Act in 2009, and protested against Rep. Paul Ryan's 2010 budget proposals, and proposals by the President's National Commission on Fiscal Responsibility and Reform to cut Social Security benefits.