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Policy making process in healthcare
Important aspects of the Affordable Care Act
Important and specific components of the Affordable Care Act
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Introduction: When it comes to healthcare in the US there are many facets. Most understand that you have the field where women and men are tirelessly coming to work whether it be clinics, hospitals or doctor’s offices to care for patients in direct care. While there are CEO’s, VP’s, management and all sorts of employees on the front line to make sure that direct patient care happens, there is also another side that address the United States healthcare in a politics area that includes policies and many other dimensions. That is when we discuss acts, reforms and many other different things such as Obama Care, all which are generally very controversy for multiple reason. The World Health Organization ranks the United States healthcare system as …show more content…
There is a process where the bills are presented and considered which may eventually be approved as laws, this is what is mainly the process for the Legislative Branch. There are Senators and Assembly Members that represent the states. The Legislation usually begins with a theory or new idea, the process can begin when a Senator or an Assembly Member choose to Author a bill. Usually the Legislature will send the idea of the bill to the Legislative Counsel where it is written up into an actual bill and then returned to the Legislature for an introduction. Depending on whom the author is that is how it is …show more content…
You’d have to have a good understanding of the framework and how policies are created and how they ultimately affect people whether negative or positive. While there are many things one could address with the Healthcare system and the government, a main thing to focus on is policies and how the different facets that were mentioned above can have an impact. The Government can affect the Code of Federal Regulations, Federal Register, Policies and regulations, Office of management and budget, Codes and Health Reform. The most known healthcare reform is Obama Care, which is the Patient Protection and Affordable Care Act. The purpose of Obamacare was to make insurance affordable for individual people to purchase health insurance, it is mainly for a small groups and people whom would pay for their own insurance. This law requires all Americans to have health insurance. The reason why it is so controversial is because Republicans say the law imposes lots of cost on businesses and an unwarranted intrusion on people’s affairs and private small businesses. It also has a lot of flaws that the courts can’t seem to agree on, for example the courts changed the ways that the states administer Medicaid. Also, premiums for individuals are rising and many insurance companies are backing out. Many times, the Democrats have tried to fix and push through fixes that would alleviate some of the problems,
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 law making process is a lengthy process. First, a representative must have an idea for a new law and they become the sponsor of this bill. The representative must present to the bill to the Clerk of the House if it is in the house (H.R. Bills), or in the Senate (S Bills). The Government Printing Office, GPO, then prints the bill and distributes it to each representative. The Speaker of the House, for further study, then assigns this bill to a standing committee within the house. The standing committee studies the bill and its contents and has two options, either to release the bill with a recommendation to pass it or lay it aside so it cannot be voted on. If the bill is released, it may be voted on or sent into debate within the house and needs a majority vote for the bill to move onto the Senate. Within the Senate, the bill must go through one of the Senate’s sixteen standing committees, and as with the House of Representatives, the bill is either released or pigeonholed. If it is released, a simple majority passes the bill. The bill takes another step into a conference committee, which is made up of members of the Hou...
The legislative branch is responsible for making laws and includes Congress, the Senate and the House of Representatives. The Senate has 100 members, two from each state. The house of representatives is made up of 435 members, and the larger the population of the state is, the more representatives it will have. The House and the Senate are also known as Congressional Chambers, and they both have particular exclusive powers. The consent of both chambers is required to pass any legislation. But it can only become law if it is signed by the President. The President has the power to veto a bill though, which will deny the legislation and kick the bill back to Congress. It may then only be passed if 2/3 of both houses of Congress vote to pass the bill.
The legislative process in Texas utilizes an introduction, a committee action, a floor action, and an enrollment in it's lawmaking process. This process can be complicated, however, it is a system that has been used for many years. Thousands of bills go through this organized process every other year and keep Texas modern and running
The facts bear out the conclusion that the way healthcare in this country is distributed is flawed. It causes us to lose money, productivity, and unjustly leaves too many people struggling for what Thomas Jefferson realized was fundamental. Among industrialized countries, America holds the unique position of not having any form of universal health care. This should lead Americans to ask why the health of its citizens is “less equal” than the health of a European.
The topic that I am choosing to do is on Obama Care. I chose this topic because the idea of the government forcing people to obtain insurance is wrong in my eyes. I am interested in analyzing the validity for what has been said about this topic in order to increase my understanding about Obama Care. I am not an expert when it comes to Obama Care. I know that this is an insurance that is being provided through the government for the general public. I have read that President Obama never initially read the whole bill itself. I also know that people who cannot afford it, but make too much money to qualify for Medicaid are being heavily encouraged to get this insurance. Some of the common knowledge that I have found that the general public has about this subject is that some people are for Obama Care and think that it is a wonderful idea and that there are some people that are dead set against Obama Care. Younger adults, specifically college age and individuals that are in their twenties tend to be for Obama Care. The insurance is being forced upon individuals that may or may not want it. It also seems as though that the insurance being offered is pretty generic in terms of coverage. Some of the questions that I have that I believe will aide me in writing this paper would be the following: What are the pros and cons of Obama Care? What are the thoughts of Obama Care with the people of the government? As well as what are the basics of Obama Care?
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...
America is known for democracy, freedom, and the American Dream. American citizens have the right to free speech, free press, the right to bear arms, and the right to religious freedom to name a few. The Declaration of Independence states that American citizens have the rights including “life, liberty, and the pursuit of happiness.” America promises equality and freedom and the protection of their rights as outlined in the Declaration of Independence and the Bill of Rights. But with all the rights and freedoms that American citizens enjoy, there is one particular area where the United States seems to be lacking. That area is health care. The United States is the only industrialized nation that doesn’t have some form of legal recognition of a right to health care (Yamin 1157). Health care reform in the United States has become a major controversy for politicians, health care professionals, businesses, and citizens. Those in opposition to reform claim that health care is not a human right, therefore the government should not be involved. Supporters of reform believe that health care is most definitely a human right and should be available to everyone in the United States instead of only those who can afford it, and that it is the government’s responsibility to uphold that right.
The purpose of this paper is to discuss the Legislative Process and Healthcare Lobbying in the United States of America. Before a law is passed and implemented in America under both state and federal level, it has to go often time through a very lengthy legislative process except in the case of an executive order. And, without the skills and expertise of the lobbying strategies, the idea which might intended to become law may not even make it to the level of a bill not to mention the chance of it to become law. It is important for us as nurses, to understand the legislative process and become very familiar with the lobbying process and take early and prompt action to defend our interests and help prevent any negative impact that any idea or bill that may become law may have on the nursing profession.
Before there is a law, there is a bill – and bills have many phases to pass through before these may become laws. The course materials of week three point out that a bill can originate in the House of Representatives or in the Senate – but different versions of the same bill could begin simultaneously in both chambers of Congress (Unit 3 the Congress, 9). It is possible for the President – or someone else – to write a bill, but a member of Congress must introduce the legislation through sponsorship. New bills receive a number and receive assignment to the committee best suited to examine the bill. Project Vote Smart reveals “Bills may be referred to more than one committee and it may be split so that parts are sent to different committees” (Project Vote Smart 2010). If the bill passes through the committee – or committees – the bill may get a new number before passing on to floor action. But it is not necessary for the bill to receive a new number. The foregoing stages describe the initial actions of the Legislative branch in the procedure of a bill becoming law.
There is also the legislative branch. This branch contains the United States House of Representatives, the United States Senate, and the Library of Congress. Laws are created through the legislative branch. The basic idea behind the creation of the three branches is based upon “checks and balances.” No branch should become so powerful that it over-takes either of the other branches.
The legislative branch consists of the Senate and the House of Representatives also known together as Congress is the only branch that has the power to create new laws. Furthermore the legislative branch employs an amazing amount of power. However the members of this branch are likely voted out of office if their objectives are not acceptable to the people. In addition the legislative branch is looked at the branch that is connected to the people. (Phaedra Trethan, 2013)
The U.S. healthcare system is very complex in structure hence it can be appraised with diverse perspectives. From one viewpoint it is described as the most unparalleled health care system in the world, what with the cutting-edge medical technology, the high quality human resources, and the constantly-modernized facilities that are symbolic of the system. This is in addition to the proliferation of innovations aimed at increasing life expectancy and enhancing the quality of life as well as diagnostic and treatment options. At the other extreme are the fair criticisms of the system as being fragmented, inefficient and costly. What are the problems with the U.S. healthcare system? These are the questions this opinion paper tries to propound.
First, in the long process of a bill becoming a law is introducing a bill. After someone from Congress in either chamber has come up with an idea for a bill they must introduce it. For members of the House of Representatives this is easy. All they have to do is put their idea in a mahogany box at the front of the chamber called the hopper. Now for a Senator to introduce a bill they must either hand it to the clerk of the Senate or they must talk about it in a presentation to their peers in a floor speech. Sometimes though Senators can cut down this process by adding their bill as an amendment to legislation that is already being processed. This saves them a lot of time. Also, new ideas for bills are labeled depending on what chamber they come from. Bills from the house will always be labeled with an H.R. with its number behind it. Well bills from the Senate will always be labeled with an S. followed by its number.
Health care policies are plans that intended to determine or influence decisions or actions that will help to achieve specific health care goals. Most of these policies are actions taken by the government to improve the American health care system. The purpose of this essay is to describe the process of how a topic eventually becomes a policy and tie to how the Affordable Health Care Act (ACA) policy process. This essay will include the formulation stage, legislative stage, and implementation stage of a complete policy process.