The Patient Protection and Affordable Care Act (PPACA) is often referred to “Obamacare”. This act was signed by president Barrack Obama on March 23, 2010. The PPACA will ensure all Americans have access to quality, affordable health care with lower prices. The government claims that the act is fully paid for and gives most Americans the quality health insurance that they deserve. The goal of this act is also to reduce the deficit over the next ten years. The Patient Protection and Affordable Care Act states that things will be run differently in the years to come. The changes from this act started in 2010, but by 2014 the new insurance reforms will be put into action and bigger changes will be made. Coverage is offered at four different levels to everyone signing up for the plan. The he Patient Protection and Affordable Care Act is expected to improve the quality and efficiency of US medical services for all US citizens. It is also planned to improve public health. All of these things make the act sound great, but will they really work that way? The cost of Medicare in the US is actually causing the poor to receive low quality care in the end. There is a big debate on whether it will help or harm seniors when everything starts to change. The PPACA supposedly is a good thing for senior citizens for a couple of reasons. First, all Americans under the plan are expected to receive quality health service and this includes seniors. The seniors will receive better care than they ever have before and costs will decrease for them. Second, the better treatments the seniors will receive will lead to better outcomes with their illnesses and out of pocket payments are believed to dwindle. Third, the seniors will also receive preventative ca... ... middle of paper ... ...4. Cohn, Michael. Doctors Are Opting Out of Medicare at an Alarming Rat. Detroit: Greenhaven, 2013. GaleNet. Web. 14 Apr. 2014. Eilperin, Juliet, Amy Goldstein, and Lean H. Sun. "Obama Offers an Insurance Fix." The Washington Post 15 Nov. 2013: n. pag. EBSCOhost. Web. 2 Apr. 2014. Moffitt, Robert. "Health Care Reform Law Will Harm Seniors." Health Care. Ed. David M. Haugen. Detroit: Greenhaven Press, 2012. Opposing Viewpoints. Rpt. from "Obamacare Will Be Devastating to Seniors." Human Events (31 May 2010). Opposing Viewpoints in Context. Web. 15 Apr. 2014. Sebelius, Kathleen. "The Only Sensible Choice." USA Today 16 Mar. 2010: n. pag. EBSCOhost. Web. 2 Apr. 2014. Troy, Tevi. "The ObamaCare Debacle Deepens: How John Roberts Made a Disastrous Law Even Worse." Commentary 134.2 (2012): 30. GaleNet. Web. 7 Apr. 2014.
The pros of PPACA include providing insurance to the "32 million" people that do not have insurance (Amadeo). These are the people who consistently show up in the "emergency room" and usually do not pay their bill, creating a rise in the cost of health insurance for everyone else (Amadeo). The law requires all insurance plans to cover certain preventative care in order to diagnose illnesses before they reach the costly state (Amadeo). PPACA also makes coverage available to those with pre-existing conditions (Amadeo). This has been an issue in the insurance industry because of adverse selection, which is caused when insurance is purchased by those who will use more than what they are paying (Stone 85). Insurance companies would off-set their costs by offering several plans with different deductibles or co-pays based on asymmetric information (85). PPACA will protect individuals from cost increases because of a pre-existing condition (Tate 14).
The Affordable Care Act or “Obamacare” was designed to assure that all Americans regardless of health status have access to affordable health insurance. The Affordable Car Act was signed into law March 23, 2010. The primary goal of this act was to decrease barriers for obtaining health care coverage and allow Americans to access needed health care services (Affordable Care Act Summary, n.d). After the legislation is fully implemented in 2014, all Americans will be required to have health insurance through their employer, a public program such as Medicaid and/or Medicare or by purchasing insurance through the health insurance marketplace exchange (Affordable Care Act Summary, n.d). I will identify three parts of The Affordable Care Act that I believe are important. First, I will talk about the requirement that insurance companies are no longer able to deny coverage to individuals with pre-existing conditions. Secondly, I will explain why physician payments are being shifted to value over volume. Lastly, I will discuss Medicaid expansion and why some states are not expanding at all.
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.
Health insurance, too many American citizens, is not an option. However, some citizens find it unnecessary. Working in the health care field, I witness the effects of uninsured patients on medical offices. Too often, I see a “self-pay” patient receive care from their doctor and then fail to pay for it. Altogether, their refusal to pay leaves the office at a loss of money and calls for patients to pay extra in covering for the cost of the care the uninsured patient received. One office visit does not seem like too big of an expense, but multiple patients failing to pay for the care they receive adds up. Imagine the hospital bills that patients fail to pay; health services in a hospital are double, sometimes triple, in price at a hospital. It is unfair that paying patients are responsible for covering these unpaid services. Luckily, the Affordable Care Act was passed on March 23, 2010, otherwise known as Obamacare. Obamacare is necessary in America because it calls for all citizens to be health insured, no worrying about pre-existing conditions, and free benefits for men and women’s health.
Affordable health care law or Patient Protection and Affordable Care Act (PPACA) is the novel commandment that touches the practice of public health or community health nursing. PPACA, also known as the Affordable Care Act, (ACA) is a united State federal decree signed into law by President Barack Obama on March 23, 2010. The ACA proposal emphasizes three foremost approaches: 1). Dropping costs and increasing productivity so the organization works. 2). Proposing inexpensive, manageable coverage for everybody. 3). Accentuating deterrence agendas in the public health setting (Anderson, K. 2009).
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.
ObamaCare, also known as the Patient Protection and Affordable Care Act, is a Health care reform law that was signed on March 23, 2010. ObamaCare’s goal is to provide more Americans with affordable health care insurance. ObamaCare also hopes to improve the quality of healthcare and health insurance in America, regulate the healthcare industry, and reduce the cost of healthcare in the United States. ObamaCare is made up of ten titles; I: Quality, Affordable Healthcare for all United State Citizens, II: The Role of Public Programs, III: Improving the Quality and Efficiency of Healthcare, IV: Prevention of Chronic Disease and Improving Public Health, V: Healthcare Workforce, VI: Transparency and Program Integrity, VII: Improving Access to Innovative Medical Therapies, VIII: Community Living Assistance Services and Supports Act (CLASS Act), IX: Revenue Provisions, and X: Reauthorization of the Indian Health Care Improvement Act.
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. In closing this paper will highlight the anticipated effects on Medicare and aging as well as Medicaid and the poor. The ACA was signed on March 23, 2010 with the intention to offer all U.S. Citizens and residents a qualifying health care coverage plan. The law’s focus is to expand coverage, control health care cost, and improve health care delivery system.
If the United States had unlimited funds, the appropriate response to such a high number of mentally ill Americans should naturally be to provide universal coverage that doesn’t discriminate between healthcare and mental healthcare. The United States doesn’t have unlimited funds to provide universal healthcare at this point, but the country does have the ability to stop coverage discrimination. A quarter of the 15.7 million Americans who received mental health care listed themselves as the main payer for the services, according to one survey that looked at those services from 2005 to 2009. 3 Separate research from the same agency found 45 percent of those not receiving mental health care listing cost as a barrier.3 President Obama and the advisors who helped construct The Affordable Care Act recognized the problem that confronts the mentally ill. Mental healthcare had to be more affordable and different measures had to be taken to help patients recover. Although The Affordable Care Act doesn’t provide mentally ill patients will universal coverage, the act has made substantial changes to the options available to them.
Patient Protection and Affordable Care Act is the real title of the bill, enacted in 2009. It is far better known as The Affordable Care Act or Obamacare. This bill represents the biggest revolution and improvement, or at least an attempt towards it, in the health care of the United States of America since the passage of Medicaid and Medicare in 1965. The main purpose of the ACA implementation was, as the bill states in its title, to make: ˝ Quality, Affordable Health Care for All Americans˝ possible. Before the ObamaCare, there were millions of American who were uninsured, or had poor quality insurance plan. On the other hand those who did have health care coverage, even the decent one, we left on their own when insurance companies abused their trust and deprived them of their rights. That was the reason why the government and the President Obama, hoped to increase the quality and make the health insurance more affordable. The idea was to lower uninsured rate by firstly increasing the extent of public and also private coverage, and then secondly, to minimise the costs of health care for both individuals and the government.
Patient Protection and Affordable Care Act, also called “Obamacare”, was enacted into law, signed by President Obama, on March 23, 2010. Since then, it has been a much debated topic in our country. According to realclearpolitics.com, only 38.2% of Americans approve of the law and 51% disapprove. Obamacare has a lot of provisions and features in the bill has been implemented since the bill has been enacted that will affect the U.S. economy and society.
The full name for this law is the Patient Protection and Affordable Care Act. The law was passed two years ago and has had problems since its enactment (Impact). The Affordable Care Act was supported by all democratic lawmakers and President Obama. The Affordable Care Act is the biggest overhaul to the healthcare system in over forty years . The bill passed both the House of Representatives and the Senate on the weekend of December 24 and December 25 (Thomma).
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.
The Iron Triangle is a device used to evaluate all kinds of health care systems. The Iron Triangle concept originated with William Kissick MD, a professor of medicine from University of Pennsylvania, who worked on the original Medicare proposal. Those who devised the recent reform measures passed by Congress in 2010 employed this concept. The three parts of the triangle are quality, access and cost. Quality is the value of service, competency, efficacy, reliability, and outcome of the care being delivered to patients. Access is who can get the care when it is needed, not how long it took to get the required care. Cost is when various systems need to make costs more affordable for patients and those who pay, whether that is the U.S.
Ever since the long and controversial political and legislative process of the Affordable Care Act (ACA) that was enacted in 2010, it has created numerous opportunities to make health care accessible, affordable, and higher quality for all. Importantly, the ACA has improved the health care system regards into reducing health disparities in recent years. For the remainder of this research paper we will have further information to what the ACA is, health disparities that exist, improvements from the ACA, and the status and future of the act.