This paper discusses the Affordable Care Act and questions that were given to us by our instructor. The Affordable Care Act, or ACA, is a health care system reform that was implemented in 2010 by Obama, the current, and then president. There was a great deal of debate when the reform came about, and what it would mean for companies, individuals, and medical care providers. Ultimately, it was designed to bring a reform to the nation’s broken health care system ((Manchikanti, Caraway, Parr, Fellows, & Hirsch, 2010). There were so many individuals without health insurance who did not get the care they needed, and this reform came about to try and create a more equal and fair system that gives everybody a sort of equal chance at insurance and health care. Like any change, it’s frightening when something new and unknown comes about, and that is exactly what this did. There were many who were unhappy with it getting passed, as well as many who were pleased with it. This didn’t just fall onto Republicans or Democrats, but individuals who were in the health care systems, like medical care providers and certain insurance companies, which it would affect. In this paper we aim to examine some background information about the Affordable Care Act, key questions that relate to it, and explore some new information learned about the ACA through this course and its readings.
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.
The Affordable Care Act has been at the center of political debate within the United States for the since current President Barack Obama signed it into law in 2010. The act represents the most significant regulatory healthcare overhaul of the United States healthcare system since the passage of both Medicaid and Medicare collectively Initially, the ACA was enacted with the goals of increasing the availability of affordable health insurance, lowering the uninsured rate by expanding public and private insurance and reducing cost of healthcare for individuals and the government (Robert, 2012). Proponents of the act’s passage have articulated that the ACA provides service for free, such as preventative health coverage for those registered, it requires that insurance companies can no longer deny person’s or children with pre-existing conditions and will close the Medicare “Donut Hole” for prescription drugs. While the Act has the potential to provide better quality of healthcare for the American populace, opponents argue that the ACA is flawed and could create a quagmire of cost and confusion with its implementation. Arguments against it hold the belief that it would force employers with religious affiliation to provide services to employees through their health plans that directly contradict their values. As a result of cost, companies may void out of their employer health insurance and pay a penalty as opposed to pay for employee insurance. Lastly, the act is said to focus more on registration the actually addressing cost of healthcare. While these issues are pertinent, the overall accessibility to healthcare created by the ACA and outweighs the negating arguments.
A power struggle over the defunding of the Patient Protection and Affordable Care Act, better known as ObamaCare, caused the government to go into a partial shutdown for sixteen days beginning on the first of October two-thousand thirteen. The ACA, Affordable Care Act, was originally signed on March twenty-third of two thousand ten to offer new benefits, rights, and protections regarding health care. President Obama (3/23/10) declared that the ACA reflects “the core principle that everybody should have some basic security when it comes to their healthcare.” I believe the intentions of ObamaCare is to expand affordable health insurance to all Americans while improving the quality and reducing health care spending in the United States (Hamblin, 4/2/13). However, according to a CBS news poll (10/3/13), about fifty-five percent of Americans disapprove of this new law and, myself included, feel that not all of the pending results of ObamaCare are in their best interest. These negative responses are a primary result of the demands brought forth by the ACA. This new health care act requires all Americans to possess a health insurance policy that meets a long list of mandatory standards by March twenty-third of two-thousand fourteen or a pay a fee of one percent of their total income (Amadeo, 12/13/13). Although there are some exceptions to these demands, they are scarce and very expensive. The Democratic Party appears to favor the plan, claiming that it will save Americans two thousand five hundred dollars per person while offering exceptional new benefits such as revoking health insurance companies right’s to deny a patient or increase charges based on pre-existing conditions, age, or gender (ObamaCare facts, 2013). In opposition to t...
This paper will take into account the Affordable Care Act (ACA) Law and how all three branches of government are involved with the creation and analyze issues associated with the ACA. Subsequently the paper will describe the role of public opinion and lobbying groups. Thirdly this paper will evaluate the concepts of equity, efficiency, and effectiveness showcasing their role in the law and its passage. This paper will take into consideration the anticipated effects on cost, quality, and access, including discussing the balance of markets and the government.
The Affordable Care Act, more commonly known as Obamacare, is a new health policy created by the American federal government. Its purpose is to make healthcare more affordable and friendly for the people. Unfortunately in some way that does not prove to be the case. It is becoming apparent that Obama may have made some misleading statements to help get the ACA put into action. The ACA is sprinkled with many flaws that call for a reform such as people’s current plans being terminated, high costs, and at minimum some people’s hours being cut by their employers.
The Affordable Care Act (ACA) will cause a large influx of patients into the health care system. For a variety of reasons, this will change how the front-line health care personnel provide care. Nurses will expand his or her scope and territory of care. Front line providers will change to include more advanced practice nurses because of the national shortage of primary care providers ("Department Of Health And Human Services," 2014). No longer will they just practice in brick and mortar hospitals. Because of the recently instituted Medicare, reimbursement regulations after patients are discharge from the hospital more nurses will be in the field performing well patient checks. These nurses will ensure the follow through of discharge instructions; assist in coordinating follow up physician and ancillary appointment all in the attempt to reduce transmission of nosocomial infections and re-hospitalization. The ACA allows Medicare to withhold payments for readmission of patients with certain diagnoses like myocardial infarction and pneumonia (The Robert Wood Johnson Foundation, 2014).
The Patient Protection and Affordable Care Act
In 2012, over 47 million Americans were uninsured. Due to the rising costs of health care, decreases in employer sponsored health care, and ineligibility gaps for public programs, the number of insured people has steadily increased (KFF, 2013). In an effort to overhaul the broken, fragmented system, massive health care reform has been launched. The most far-reaching law affecting managed care since the creation of Medicare and Medicaid, the Patient Protection and Affordable Care Act “ACA” was signed into law on March 23, 2010 (Kongstvedt, 2013). This controversial and comprehensive piece of legislation focuses on provisions to expand coverage improves health care delivery systems, increase consumer protection, and control health care costs (KFF, 2013).
In 2010, the United States took the first tangible step toward universal health care coverage, with the legalization of the Patient Protection and Affordable Care Act of 2010. According to the U.S. Census Bureau’s most recent report the total population of the United States is nearly 309 million people (U.S. Census Bureau, 2010). In 2009, it was estimated 49 % of the population was covered under an employer sponsored insurance plan (Kaiser Family Foundation, 2009). The same 2009 data reported an additional 29 % of the population was covered under some form of government or public program (Kaiser Family Foundation, 2009).
In a cultural and technological world so heavily influenced by the United States, the lack of access to universal and affordable health care remains a critical point of debate and embarrassment in a country far behind in its citizen's accessibility to it. The current establishment's answer, known as the Affordable Care Act (ACA), is a piece of passed legislation that aims to put forth access to a market in which insurance providers compete within fair rates to insure those who previously had no access or could not afford it. Though recently put to the test in a number of states, a number of glaring ethical and operational issues remain that will test the fiber of the new found plan in which some cases show that it is more detrimental to some citizens rather than helpful. In effect, the goal by which the Affordable Care Act seeks to address providing insurance to millions of people who would otherwise be unable to gain access is an honorable and perhaps necessary gesture, but the ethical questions of whether or not this particular approach violates the rights of citizens, or is a natural right unto itself remains untested.