As one of the most developed countries in the world, the United States has the costliest and most convoluted health care and falls behind in preventable mortality (Mason, Gardner, Hopkins Outlaw, & O’Grady, 2016). Hence, President Obama has endeavored to reform health care so that all Americans can obtain health insurance. Health care coverage and delivery has been greatly impacted by the Affordable Care Act (ACA) of 2010. The ACA aims to broaden insurance coverage to millions of uninsured Americans amidst private insurance regulation, enlarging public insurance programs, and establishing health insurance marketplaces (Mason, Gardner, Hopkins Outlaw, & O’Grady, 2016). Although the ACA has increased health care coverage and generated a positive approach in health care reform, there are still many challenges to be tackled. As health care insurance is controlled by individual states, continuity of coverage and care can be interrupted when fluctuations in income alter eligibility (Howard & Shearer, 2013). Affordability of out of pocket expenses such as copayments and out of network providers still pose a hurdle for low income households although ...
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...n health care incongruences. Nursing education on patient centered care, fostering teamwork, legislation and policy of health care delivery systems, and managing change and conflict is a model for nursing practice to amplify recognition and responsiveness for change (Mason et al., 2016).
In conclusion, as one of the wealthiest nations in the world, the US is still working on decreasing disparities in health care. Although the ACA was the first step in a movement to address this issue, there is much work yet to be done. Uninsured and underinsured American citizens have widened access in obtaining health care coverage under the ACA. Limited access to vulnerable populations remains a problem and the astounding statistics yet to prove otherwise. As nurses, we must dedicate our distinctive stances in health care legislation to serve the citizens of our great country.
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