The Issue Of Healthcare Reform Essay

The Issue Of Healthcare Reform Essay

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Healthcare reform has become one of the most talked about and one of the most controversial issues in the United States and in Texas. There had been much discussion in the United States government about healthcare reform for the past few decades, but the intensity of the issue has become higher since the 2008 election cycle, when Barack Obama ran for president as the Democratic nominee and made universal healthcare reform one of his key platform issues and objectives. After he took office in 2009 after winning the 2008 election, he immediately made universal healthcare one of his main objectives and urged Congress to draft a law to overhaul the healthcare system (Smith). After much debate in both chambers and after overcoming obstacles such as the lack of a supermajority vote as a result of the death of Ted Kennedy, a Democrat, and election of Scott Brown, a Republican in a special election, Democrats were able to pass the Affordable Care Act, or Obamacare, by using budget reconciliation, which does not require a supermajority, to pass the bill ("History of the Affordable Care Act (ACA)"). After the bill was signed into law by Obama, it was faced by numerous challenges, including various attempts to repeal all or parts of it by congressional Republicans, lawsuits by states and other entities, and Supreme Court cases. Fortunately for the bill, it survived the two major Supreme Court cases that challenged its legitimacy and constitutionality, the National Federation of Independent Business (NIFB) v. Sebelius (2012), which made Obamacare a tax and “let states opt-out of expanding Medicaid”, and King v. Burwell (2015), which allowed the IRS “to issue subsidies on behalf of those who bought a plan through HealthCare.Gov” ("Supreme...


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... issues they have before these issues worsen and lead to something worse.
Texas has four policy options on how to implement Obamacare to consider. The first option would be to keep the status quo. This would mean that Texans would continue to use the federal marketplace and that Texas would not expand Medicaid to provide health insurance to the ones in need. Another option would be to set up a state marketplace to replace healthcare.gov as the website Texans would use to purchase health insurance. This would help reduce the problems Texans would face when they purchase health insurance, as the federal marketplace had been beset by technical and security issues over the past few years. A third option would be to join the Medicaid expansion program that would provide subsidies to the poor. The last option would be for Texas to do the second and third options.

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