Obamacare Case Study

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It seems like everyone hates the Patient Protection and Affordable Care Act (PPACA, also known as Obamacare). As a healthcare system aiming at improving health insurance coverage, holding insurance companies accountable, lowering individual healthcare expense, ensuring health choices and improving quality of healthcare (Corbett, & Kappagoda, 2013; Manchikanti, & Hirsch, 2012), Obamacare requires that everyone is mandated to have a health plan, while for the poor it is federal subsidized, children under 19 with pre-existing conditions must not be excluded from health plans, young adults under 26 can be covered under their parents’ health plan, and employers to cover their employees (National Conference of State Legislatures, 2011; Huntington, As it helped to expand the coverage of health insurance, established a patient navigation funding to increase access to health care, created incentives to healthcare coordination and integration and providing funding for community-based enrollment navigation services. Therefore, throwing the whole PPACA system will be unreasonable but adapting it, which Hillary is planning to do. On the contrary, if the PPACA is repealed, 20 million people, among which the majority is the poor may lose their coverage (Khazan, 2016). As for the suggestion of allowing individuals to have Health Saving Accounts, it already exists, which further indicates his lack of understanding towards As a risk pool system, people who live an unhealthy lifestyle making bad life choices are being subsidized and people who do the opposite are being punished (Aspalter, 2017). In the case of healthcare system in the US currently, poor people, who tends to have worse life style, are getting “rewards” for it: when they get sick, they can have treatment. For people of middle class, who tend to have better life style and who can afford a healthier life style, they are paying the premium, but as they are less like to use healthcare service they have been paying for. All in all, this system does not utilize people’s capability to live a healthy life style, since it creates on incentive. On the contrary, Health Savings Count, as a “tax-advantaged saving account”, people have an account, supporting by both them and their employer, which they can use to pay for their medical fee, if they do not use it, the fund will roll over year to year. Moreover, after retirement, savings in the account can be withdrawn (U.S. Department of the Treasury, 2015). Therefore, as long as individual stays healthy, they get what they have been saving, which is an incentive to live

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