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Affordable care act analysis
Affordable care act analysis
Health Care Reform Policy Analysis Paper
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The Health Care Reform Bill was surrounded by an extensive array of factors and had many relevant elements which either supported or opposed the bill. This paper focuses on examining what the decision making procedure and particular issues linked with this specific process might have been in the developmental procedure and passing of the Health Care Reform Bill. The decision making aspects involved with the developmental and passing procedure of the bill had several constants and variables. At one specific juncture in time, it seemed to be the fate of the Democrats to face failure and the fate of the bill to get replaced because of the staunch opposition from the section of the Republicans. Several substitute options were in consideration and there were potential chances that the bill might get replaced with the options associated with the substantial leveling back of the bill and shaping that specific plan that would be much lesser in its degree and application, proceeding with a comprehensive form of a bill, or just suppressing the plans associated with health care reform and focusing attention on other forms of issues (Thomas & Chrisney, 2010). Other aspects to the decision making procedure that were behind the passing of the bill include the likes of the detail that President Obama utilized all his efforts and magnified their degree for the passing of the said bill. The “Congress” and the “White House” declined to alter their existing decision and tried to make the case of the existing bill strong by employing critical decision making methods and techniques for the objective of paving their way through a complicated form of legislative procedure (Thomas & Chrisney, 2010). Other decision making elements which served as ke... ... middle of paper ... ...ture of the opposition, but they stuck to their basic decision making elements in association with the general aims and perimeters of the bill. Other associated factors include the objectives which aim to redefine and extend the measures linked with the bill, and these are expected to acquire the mode of implementation soon. References Cohn, J. (2010). How they did it. Retrieved June 6, 2011, from http://www.tnr.com/article/politics/75062/how-they-did-it-part-one. Silverleib, A. (2010, March 21). House passes health care bill on 219-212 vote. Retrieved June 6, 2011, from http://articles.cnn.com/2010-03-21/politics/health.care.main_1_health-care- entire-house-democratic-caucus-pre-existing-conditions?_s=PM:POLITICS. Thomas, JD, P.W., & Chrisney, A. (2010, May). Comprehensive healthcare reform becomes law. Retrieved June 6, 2011, from http://www
The documentary Obama’s Deal narrated by Jim Gilmore highlights the 44th Presidents’ endurance as he fought against a great resistance in reforming healthcare. This bill was the most complex bill in modern times says Gilmore. The Affordable Care Act eventually deemed Obama Care was a signature issue and Obama spent most of his first term focusing on this specific reformation. For the first African American President, the pushback was astronomical, and excuses were abundant, but he needed to prove that Washington could solve bigger problems so he relentlessly pursued every avenue he could explore to push this bill in the direction of reformation.
...agree with President Obama’s tactic of addressing Congress and persuading them to pass the Affordable Care Act. Neustadt stated in his book one of the effective ways presidents can bargain with other members of government which is “ …the bargaining advantages inherent in his job with which to persuade other men that what he wants of them is what their own responsibilities require them to do.” President Obama addresses Congress’s responsibility to represent the interest of the people in order to pass the legislation.
The United State’s Constitution, the shortest written Constitution in the world, only has twenty-seven amendments, and now it is time to add another. The power of a presidential line-item veto was denied to the Clinton Administration in 1998, but with this last Congress being the least productive Congress ever, it is time to re-think the power distribution in the legislative process. In Congress, on average, only 10% of the bills proposed make their way through, and ever reach the President’s desk. In this modern day and age a bill, on average, is 3,105 words. When Congress was first created the idea was that each proposed legislation would be contained in one bill, now bills are comprised of various provisions. Which is why the power of the line-item veto would be beneficial to expand presidential authority. This line-item veto authority is the ability to cross out certain provisions while still being able to sign in to law the entire bill. This would be beneficial to the United States government, as an amendment that would allow the president to cut out unnecessary spending to in turn lower the national deficit. The United States government needs to pass an amendment to allow Presidents to use the line item veto.
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...
Political scientists have continually searched for methods that explain presidential power and success derived from using that power effectively. Five different approaches have been argued including the legal approach, presidential roles approach, Neustadtian approach, institutional approach, and presidential decision-making approach. The legal approach says that all power is derived from a legal authority (U.S. Constitution). The presidential roles approach contends that a president’s success is derived from balancing their role as head of state and head of government. The Neustadtian approach contends that “presidential power is the power to persuade“ (Neustadt, p. 11). The institutional approach contends that political climate and institutional relations are what determines presidential power. The last approach, decision-making, provides a more psychological outlook that delves into background, management styles, and psychological dispositions to determine where a president’s idea of power comes from. From all of these, it is essential to study one at a time in order to analyze the major components of each approach for major strengths and weaknesses.
For the last five years of my life I have worked in the healthcare industry. One of the biggest issues plaguing our nation today has been the ever rising cost of health care. If we don't get costs under control, we risk losing the entire system, as well as potentially crippling our economy. For the sake of our future, we must find a way to lower the cost of health care in this nation.
Ghosh, C. (2013). Affordable Care Act: Strategies to Tame the Future. Physician Executive, 39(6), 68-70.
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
Longest Jr., B.B (2009) Health Policy making in the United States (5th Edition). Chicago, IL: HAP/AUPHA.
It seems the Founders wanted to make the passage of legislation difficult. The Constitution settles how bills become law in the United States. The procedure is operose and can take significant time to complete. The course materials of week three offer more than enough information on how the procedure works. This essay will, mainly, use the course materials to describe the process of how a bill becomes a law. The process of transforming a bill into a law requires the participation of both the Legislative branch and Executive branch of government.
The beginnings of the Affordable Care Act started in 2008 when Barack Obama was running for president. He said “On healthcare reform, the American people are too often offered two extremes - government-run healthcare with higher taxes or letting the insurance companies operate without rules...I believe both of these extremes are wrong”. Obama won the Presidential election that November. In March of 2009 a “health summit” was brought together and Governor Kathleen
Should it be evaluated in term of “success” or “influence?” (Collier 1959), suggested that some studies have chosen to focus on success while others have examined the influence. However, most studies have a focus on the presidential success arguing that, emphasis on presidential influence is too narrow. On the other hand, (Collier 1959) argued that, given the problem of the government responsiveness in a system of separate institutions sharing power, it is important to analyze the conditions that might lead to the presidential success rather the success alone. Nonetheless, to find out why success is studied more frequently than influence, required an understanding of the difference between success and influence. According to (Collier 1959), Success evaluated presidential performance in terms of the passage of the legislation supported by the President. Influence emphasizes the president’s ability to alter the actions of others. In other words, success measures the outcome (Example of Roll call votes) whereas, influence measures the pre-outcome (The president ability’s to gather people behind his vision, ability to control or persuade members of Congress, the ability to convince others to do as he
As seen quite often in the Obama administration, legislation gets stuck and lost in Congress due to the polarization of the parties in recent years. In Obama’s case, he has frequently threatened to go around the House and Senate if they could not reach an agreement or would shoot down his plans. Cato’s Pilon points out, however, that the hurdles of Congress are no mistake. Pilot states that the framer’s of the Constitution knew what they were doing, and this was intended to keep the checks and balances as well as accountability to the public (Lyons,
Otto von Bismarck once said, “Laws are like sausages, it is better not to see them being made.” The arduous process that a bill undergoes in order to become a law may seem grueling and pointless; however, the processes high caliber of difficulty allows for the extreme prestige and exclusivity of bills that are passed. Because the process is so exhausting, and filibusters, subsequently requiring a super-majority vote to pass a bill, have always been such a threat in Congress, historically, bills that attempt to reform sensitive issues have not fared well in the legislative branch. However, when Congress does pass controversial laws, it then also faces the task of effectively enforcing them. But, when the process is carried out to completion, laws that are enforced have significant impacts on the everyday lives of the American people—such as laws concerning abortion rights. In the United States, the government and Congress have significantly affected the rights of women with regard to abortions through laws that either restrict or guarantee their legality and availability, while the government’s capacity to do so is affected by the principle of federalism along with that of the separation of powers.
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