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Negative effects of Obamacare
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Negative effects of Obamacare
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I also understand your observations Pearl James-Iser, my sister works for the State of Texas Department of Health and Human Services and the issues that they are going through with families is astounding. Personally, I knew families that had insurance prior to the implementation of the ACA, and eventually were told that the coverage they had did not meet the requirements set forth by the government. Then when they tried to apply for coverage the cost is way higher than expected and they could not afford the plans. The entire thought of having a comprehensive health care system for the nation is a dilemma. It is quite easy to say or claim “we need this or we would have this”, but the reality is that for every action results in a reaction. Therefore, …show more content…
Tanner. It was presented on March 8th, 2008 and the points presented, are as valid today and the day they were presented. “There is no single international model for national health care, of course. Countries vary dramatically in the degree of central control, regulation, and cost sharing they impose and in the role of private insurance” (Tanner, 2008). Additionally: Health insurance does not mean universal access to health care. In practice, many countries promise universal coverage but ration care or have long waiting lists for treatment. Rising health care costs are not a uniquely American phenomenon. Although other countries spend considerably less than the United States on health care, both as a percentage of GDP and per capita, costs are rising almost everywhere, leading to budget deficits, tax increases, and benefit reductions. In countries weighted heavily toward government control, people are most likely to face waiting lists, rationing, restrictions on physician choice, and other obstacles to care. Countries with more effective national health care systems are successful to the degree that they incorporate market mechanisms such as competition, cost sharing, market prices, and consumer choice, and eschew centralized government
The aim of affordable care act (ACA) was to extend health insurance coverage to around 15% of US population who lack it. These include people with no coverage from their employers and don’t have coverage by US health programs like Medicaid (Retrieved from, https://www.healthcare.gov/glossary/affordable-care-act/). To achieve this, the law required all Americans to have health insurance which is a reason of controversy because, it was inappropriate intrusion of government into the massive health care industry and insult to personal liberty. To make health care more affordable subsidies are offered and the cost of the insurance was supposed to be reduced by bringing younger, healthier people to the health insurance system. This could be controversial, if older, sicker people who need the coverage most enter the market but younger group decline to do so. The insurance pool will be unbalanced and the cost of coverage will rise correspondingly.
On a global scale, the United States is a relatively wealthy country of advanced industrialization. Unfortunately, the healthcare system is among the costliest, spending close to 18% of gross domestic product (GDP) towards funding healthcare (2011). No universal healthcare coverage is currently available. United States healthcare is currently funded through private, federal, state, and local sources. Coverage is provided privately and through the government and military. Nearly 85% of the U.S. population is covered to some extent, leaving a population of close to 48 million without any type of health insurance. Cost is the primary reason for lack of insurance and individuals foregoing medical care and use of prescription medications.
Healthcare has now become one of the top social as well as economic problems facing America today. The rising cost of medical and health insurance impacts the livelihood of all Americans in one way or another. The inability to pay for medical care is no longer a problem just affecting the uninsured but now is becoming an increased problem for those who have insurance as well. Health care can now been seen as a current concern. One issue that we face today is the actual amount of healthcare that is affordable. Each year millions of people go without any source of reliable coverage.
According to Glenn Kessler, (2011), a fact checker for the ACA quoted the president as pleading that “if you like your insurance, you can keep it” for cost measures with no clear direction of implementation for employer sponsored healthcare coverage for the employee. Insurance companies wouldn't have to make up losses by jacking up costs, and the average Joe wouldn't have to pay a fine for not buying health insurance. I think the biggest problem is the assumption that having insurance equates to having affordable healthcare. Americans have been barraged because the ACA is built on the assumption that health care is not a privilege, it is right and is a requirement of the law available to all Americans for healthcare coverage. For the ACA there is more of the negative than the positive for the poor, the independent contractor, the individual, the business, employers and the employees, and the legislature has everyone guessing who the beneficiaries of the Affordable Care Act are.
There is an ongoing debate on the topic of how to fix the health care system in America. Some believe that there should be a Single Payer system that ensures all health care costs are covered by the government, and the people that want a Public Option system believe that there should be no government interference with paying for individual’s health care costs. In 1993, President Bill Clinton introduced the Health Security Act. Its goal was to provide universal health care for America. There was a lot of controversy throughout the nation whether this Act was going in the right direction, and in 1994, the Act died. Since then there have been multiple other attempts to fix the health care situation, but those attempts have not succeeded. The Affordable Care Act was passed in the senate on December 24, 2009, and passed in the house on March 21, 2010. President Obama signed it into law on March 23 (Obamacare Facts). This indeed was a step forward to end the debate about health care, and began to establish the middle ground for people in America. In order for America to stay on track to rebuild the health care system, we need to keep going in the same direction and expand our horizons by keeping and adding on to the Affordable Care Act so every citizen is content.
Newman, Alex. “Examining Healthcare: A Look Around the Globe at Nationalized Systems.” The New American. 15 Sep. 2008: 10. eLibrary. Web. 04 Nov. 2013.
On March 23, 2010, President Barrack Obama signed the Affordable Care Act (ACA) into legislation. The bill was created to provide affordable and effective health care to all Americans. It has since provided tens of millions of uninsured Americans with affordable healthcare (“ObamaCare: Pros and Cons of ObamaCare”). While doing so, an estimated 31 million still remain uncovered as of 2016 (“Not ‘Everybody’ Is Covered Under ACA”). To this day, the health care plan has remained widely criticized and controversial. Many believe the Affordable Care Act has not done its duty and is unconstitutional to force healthcare upon Americans. Some of the people who share these views believe it isn’t the government’s job to provide welfare. They believe healthcare
The United States health care system is one of the most expensive systems in the world yet it is known as being unorganized and chaotic in comparison to other countries (Barton, 2010). This factor is attributed to numerous characteristics that define what the U.S. system is comprised of. Two of the major indications are imperfect market conditions and the demand for new technology (Barton, 2010). The health care system has been described as a free market in
The ACA expanded Medicare/ Medicaid, strengthened employer based care, and included an individual mandate. Before the ACA there were 32 million people uninsured and “approximately half, or 16 million, will gain coverage through an expansion of Medicaid” (Barr, 2011, p. 292). To improve the cost of care the ACA required employers with more the 50 employees to offer plans and individuals would have to purchase plans from the government. “ACA does not address directly the issue of disparities in access of care based on a patient’s race or ethnicity, it does impose on providers the responsibility for collecting data on the race or ethnicity, primary language, disability status, and similar demographic characteristics of patients cared for” (Barr, 2011, p. 293). The ACA strives to give health coverage to all but the power still lies in the private sector.
There are many reasons as to why healthcare is more expensive in the United States than any other country. One of them is because of the high profit margins that are protected by pharmaceutical companies. In other countries like the UK, the government can negotiate lower prices which brings down the cost, while the US is stuck paying higher prices because legislation greatly reduces negotiating power of the US government. Another reason is that consumers in America are not the direct payer, therefore, they generally do not care about how much providers charge because it does not directly affect them (through direct pay or taxes). Along the same lines, in many other countries, the government is the only buyer of medical services because patients pay for services through taxes. This causes the healthcare market to essentially be a “buyer’s market,” which drives the cost down. Another major reason for expensive healthcare is because American doctors are paid much more than doctors in other countries. A big part of this has to do with the very long and expensive road of medical school in the US, necessitating that doctors get paid more so that the process is worth it for them financially. Finally, the healthcare system is very bloated, with payments usually going through multiple intermediaries and each insurance company taking a percentage of the payment. The government does not regulate the costs in the industry very well, essentially creating a “seller’s market.” These are just some of the reasons of why the most expensive healthcare in the world is in the United
A country’s health care system refers to all the institutions, programs, personnel, procedures, and the resources that are used to meet the health needs of its population. Health care systems vary from one country to another, depending on government policies and the health needs of the population. Besides, health care programs are flexible in the sense that they are tailored to meet health needs as they arise. Among the stakeholders in the formulation of a country’s health care system are governments, religious groups, non-governmental organizations, charity organizations, trade/labor unions, and interested individuals (Duckett, 2008). These entities formulate, implement, evaluate, and reform health services according to the needs of the sections of the population they target.
Millions of Americans are without health insurance in the United States due to many factors such as unemployment, the cost of insurance and insurance companies denying coverage due to pre-existing conditions. The United States does not provide health care to its citizens the way the rest of the industrialized world does. Instead of providing coverage for all it institutes market-based options, in which some receive coverage from their place of employment, another options are purchasing individual plans and some can obtain coverage through public programs like Medicaid. The United States is the only westernized industrial nation without a universal health care system.
To further understand the US healthcare system and put in context how health coverage is provided to its population it is important to compare the US health system to another country like the Netherlands. In the Netherlands healthcare coverage has been achieved through competitive insurance markets similar to the US and the Dutch government does not control prices, productive capacity or funds but instead only acts as a regulator (Daley & Gubb, 2011). In 2006 the Dutch government held healthcare reforms because the country faced an issue that was very similar to the US, in regards to healthcare coverage inequalities, the population was covered through private and public health insurance, with stable private health insurance for the wealthy and unstable public insurance which lacked patient focus and was inefficient in comparison (Daley & Gubb, 2011). Many factors called for healthcare reformation in the Netherlands like a disarranged structure that ineffectively controlled cream skimming, lack of competitive incentives that for insurance companies resulting in bad performance, and the rising premiums
With the United Nations listing health care as natural born right and the escalating cost of health care America has reached a debatable crisis. Even if you do have insurance it's a finical strain on most families.
Everyone is always competing for the best health care. Different health care systems are different through out the world, but all with similar ideas of at least delivering some form of health care. Some countries in particular will be highly emphasized: Switzerland, United Kingdom, and Japan in how they work with cost, access, and quality with in the health care systems in their own countries.