The Agenda Setting which led to the Patient Protection and Affordable Care Act Agenda setting is the process that determines appropriate solutions to a certain problem of a given field (Kingdon, 3). The process itself consists of three streams: problems, policies, and politics (Kingdon, 16). These separate streams interact when windows of opportunity are open – solutions are fitted with problems, and the impetus for this relationship is amenable political forces (Kingdon, 20). Prominent agendas are determined by the problem or political streams, while solutions are crafted in in the policy stream (Kingdon, 20). In the field of health care, the agenda setting is based upon the high number of uninsured citizens, the rising cost of medical care, the development of Patient Protection and Affordable Care Act (PPACA) in response to this issue, and the key players that debate whether governmental involvement is the correct approach in the issue of universal healthcare. In Kingdon’s framework, a problem of interest can be disclosed to the public via a change in indicator (17). In the health care system, the change of indicator is the rise in number of uninsured citizens (Cochran et al, 269). The access to health care is through health insurance, which in most cases is not easily attainable for those of low income (Cochran et al, 269). A person with no insurance is still capable of receiving care, albeit at a reduced quality, and by paying direct costs. This can lead to not receiving proper care from the medical staff, or the diminishing existence of safety net hospitals (Cochran et al, 269; Zwanziger and Khan, 494). Thus, insurance is an important factor in the well-being of citizens to gain access to high quality comprehensive ... ... middle of paper ... ...one, D. Policy Paradox: The Art of Political Decision Making. New York: Norton, 2012. Book. United States Census Bureau. U.S. Department of Commerce, n.d. Web. 14 Mar. 2014. Welcome to the Marketplace. Centers for Medicare and Medicaid Services, n.d. Web. 15 Mar. 2014. Bethany Anne Conway, Addressing the “Medical Malady”: Second-Level Agenda Setting and Public Approval of “Obamacare” Int J Public Opin Res (Winter 2013) 25 (4): 535-546 7 January. 2013 Peterson, Mark A. "It Was A Different Time: Obama And The Unique Opportunity For Health Care Reform." Journal Of Health Politics, Policy & Law 36.3 (2011): 429-436.Academic Search Complete. Web. 23 Mar. 2014. Fahmy, S. McKinley, C. Filer, C. Wright, P. Pulling the Plug on Grandma: Obama’s Health Care Pitch, Media Coverage & Public Opinion Advances in Journalism and Communication September, 2013. Vol.1, No.3, 19-25
One of the most controversial topics in the United States in recent years has been the route which should be undertaken in overhauling the healthcare system for the millions of Americans who are currently uninsured. It is important to note that the goal of the Affordable Care Act is to make healthcare affordable; it provides low-cost, government-subsidized insurance options through the State Health Insurance Marketplace (Amadeo 1). Our current president, Barack Obama, made it one of his goals to bring healthcare to all Americans through the Patient Protection and Affordable Care Act of 2010. This plan, which has been termed “Obamacare”, has come under scrutiny from many Americans, but has also received a large amount of support in turn for a variety of reasons. Some of these reasons include a decrease in insurance discrimination on the basis of health or gender and affordable healthcare coverage for the millions of uninsured. The opposition to this act has cited increased costs and debt accumulation, a reduction in employer healthcare coverage options, as well as a penalization of those already using private healthcare insurance.
During the study of various reforms that were proposed and denied, both the GOP and Democrats attempted to find a balance that would guarantee the success of their proposals. Years of research, growing ideologies, political views and disregard for the country's constitution sparked an array of alternatives to solve the country's healthcare spending. The expenditure of US healthcare dollars was mostly due to hospital reimbursements, which constitute to 30% (Longest & Darr, 2008). During the research for alternatives, the gr...
Healthcare has been a topic of discussion with the majority of the country. Issues with insurance coverage, rising costs, limited options to gain coverage, and the quality of healthcare have become concerns for law makers, healthcare providers and the general public. Some of those concerns were alleviated with the passing of the Affordable Care Act, but new concerns have developed with problems that have occurred in the implementation of the new law. The main concerns of the country are if the Affordable Care Act will be able to overcome the issues that plagued the old healthcare system, the cost of the program, and how will the new law affect the quality of the health delivery system.
Longest Jr., B.B (2009) Health Policy making in the United States (5th Edition). Chicago, IL: HAP/AUPHA.
In the early years of 2009 to 2010 the political process pushed health care through legislation led by Senate Majority Leader Harry Reid (Health care and government, 2013). This process was extraordinarily tiring, as many defenders of the bills passing were present. Many congressional members “dug their heels in”, and wanted to slow down the process even more as confusion about the bill was posed (Health care and government, 2013). Despite opposition by many sides of the American people, a Democrat-dominated House of Representatives passed the bill and the Affordable Care Act was signed into action on March 21, 2010 (Hogberg, 2013). Indeed, all three branches of government were instrumental with the passing the Affordable Care Act into place.
Obama Care has been a critical issue that has been discussed in many areas, especially in the social media, Television programs and also in the Newspapers. New York Times (Feb 4 2014) and Huffing Post(30th Jan 2014) have carried out a candid discussion on this issue with their recent articles receiving immense praise and the same time several jibes from different states in America. The Obama Care issue has led to a great political tussle between the Republicans and Democrats.
In recent years, the number of Americans who are uninsured has reached over 45 million citizens, with millions more who only have the very basic of insurance, effectively under insured. With the growing budget cuts to medicaid and the decreasing amount of employers cutting back on their health insurance options, more and more americans are put into positions with poor health care or no access to it at all. At the heart of the issue stems two roots, one concerning the morality of universal health care and the other concerning the economic effects. Many believe that health care reform at a national level is impossible or impractical, and so for too long now our citizens have stood by as our flawed health-care system has transformed into an unfixable mess. The good that universal healthcare would bring to our nation far outweighs the bad, however, so, sooner rather than later, it is important for us to strive towards a society where all people have access to healthcare.
The Patient Protection and Affordable Care Act passed by President Barack Obama is a significant change of the American healthcare system since insurance plans programs like Medicare and Medicaid (“Introduction to”). As a result, “It is also one of the most hotly contested, publicly maligned, and politically divisive pieces of legislation the country has ever seen” (“Introduction to”). The Affordable Care Act should be changed because it grants the government too much control over the citizen’s healthcare or the lack of individual freedom to choose affordable health insurance.
Berman, M. L. (2011). From Health Care Reform to Public Health Reform. Journal of Law, Medicine & Ethics, 39(3), 328-339. doi:10.1111/j.1748-720X.2011.00603.x
In America the affordability and equality of access to healthcare is a crucial topic of debate when it comes to one's understanding of healthcare reform. The ability for a sick individual to attain proper treatment for their ailments has reached the upper echelons of government. Public outcry for a change in the handling of health insurance laws has aided in the establishment of the Affordable Healthcare Law (AHCL) to ensure the people of America will be able to get the medical attention they deserve as well as making that attention more affordable, as the name states. Since its creation, the AHCL has undergone scrutiny towards its effects on the government and its people; nevertheless, the new law must not be dismantled due to its function as a cornerstone of equal-opportunity healthcare, and if such a removal is allowed, there will be possibly detrimental effects on taxes, the economy, and poor people.
There are several issues concerning the uninsured and underinsured patient population in America. There are many areas of concern the congressional efforts to increase the availability of health insurance, the public image of the insurance industry illustrated by the movie "John Q", the lack of good management tools, and creating health insurance coverage for all low income Americans. Since the number of uninsured Americans has risen to 43 million from 37 million in the flourishing 1990s and could shoot up even more severely if the economy continues to decrease and health care premiums keep increasing (Insurance No Simple Fix, 2001).
The Frontline documentary, Obama’s Deal, tracks the course of Obama’s healthcare reform and the steps taken by the administration to get the bill passed. Healthcare was, and remains, one of the biggest platforms of the Obama administration and one of our nation’s greatest challenges. The film starts with Obama’s election into the White House in 2009. Rahm Emanuel, who had worked for the Clinton administration, was brought in to advise Obama on the reform. To win, Emanuel knew that Obama would have to move quickly as his campaign would be strongest at the beginning. But his crucial flaw was having Obama take a back seat on his own political agenda. Emanuel tried to change his mistakes from the Clinton administration’s healthcare failure, and
Health insurance facilitates entry into the health care system. Uninsured people are less likely to receive medical care and more likely to have poor health. Many Americans are foregoing medical care because they cannot afford it, or are struggling to pay their medical bills. “Adults in the US are more likely to go without health care due to cost” (Schoen, Osborn, Squires, Doty, & Pierson, 2010) Many of the currently uninsured or underinsured are forced accept inferior plans with large out-of-pocket costs, or are not be able to afford coverage offered by private health insurers. This lack of adequate coverage makes it difficult for people to get the health care they need and can have a particularly serious impact on a person's health and stability.
Health care policies are plans that intended to determine or influence decisions or actions that will help to achieve specific health care goals. Most of these policies are actions taken by the government to improve the American health care system. The purpose of this essay is to describe the process of how a topic eventually becomes a policy and tie to how the Affordable Health Care Act (ACA) policy process. This essay will include the formulation stage, legislative stage, and implementation stage of a complete policy process.
ObamaCare Summary: A Summary of Obama's Health Care Reform. n.d. Web. 18 03 2014. .