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The tides of reform revisited
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This past January, Donald J. Trump was made 45th President of the United States of America. In his message of radical change to an overtly bureaucratic Washington that had supposedly failed the needs in providing for the American people, he promised to enact enormous reform in areas such as border security, foreign trade, and terrorism. Yet, for President Trump and a Republican-controlled Congress, it is now in their hands how the nation will face perhaps its first biggest challenge this year concerning the issue of national healthcare reform. With Obamacare slowly veering into an economic death spiral due to issues like spiking premiums, large corporate health insurers pulling out of federal marketplaces, and the development of insurance …show more content…
However, President Trump and high-ranking Republican officials promise that a replacement for Obamacare would be enacted in possibly the same week or perhaps the same bill that also repeals Obamacare. In addition, Trump’s new pick for the U.S. Secretary of Health and Human Services, Tom Price, signals that for whatever method of action is taken to address the disparity of health coverage in the U.S., the elimination of regulations in health care will be vastly exercised. The divide on healthcare reform between Republicans and Democrats spans numerous issues related to what should and shouldn’t be covered. While no specific plan has been proposed to replace Obamacare, topics like coverage vs. access, health savings accounts, and pre-existing conditions will help to define whatever plan is put forth. As with Obamacare, the replacement will have both winners and losers that result from its implementation. The actual process for repealing and replacing Obamacare will also come with challenges as the current, contentious political climate has made it almost impossible to establish bipartisan agreement on any national …show more content…
For Obamacare, its mission was to make sure that all Americans were able to obtain health insurance. One of its main tenets was to allow those seeking individual coverage to obtain it, while also expanding Medicaid to allow increased numbers of low-income adults to be covered. In addition, a mixture of incentives and penalties was used to influence people to sign up for coverage through a federal marketplace. Republicans contrast this idea of universal coverage with the concept of “universal access,” in which health insurance can be obtained more easily as a result of lower premiums that would make coverage more affordable, thereby allowing more people to buy policies. Any Republican healthcare plan would also argue that compared to Obamacare, which required insurers to cover numerous benefits that were previously hard to find in individual healthcare plans such as maternity care and mental health, plans should give the insuree the choice of what benefits they would want, thereby lowing the cost of premiums and allowing consumers to be conscientious of what services they actually need in order to keep health care costs down. Republican plans will also incorporate the use of health savings accounts (HAS), a popular device that can allow one to deposit money that would be untaxed and directed toward healthcare costs for high-deductible insurance plans.
The intent is to create a healthcare system where health insurance coverage is available to everyone. Coverage is through a joint effort of the government, employers, and individuals. A disparity in coverage often occurs within vulnerable populations. This includes children, unemployed and retired individuals, along with their families. They are more likely to have limited access to healthcare while having an increased need for medical services.
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?
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.
Healthcare has been a topic of discussion with the majority of the country. Issues with insurance coverage, rising costs, limited options to gain coverage, and the quality of healthcare have become concerns for law makers, healthcare providers and the general public. Some of those concerns were alleviated with the passing of the Affordable Care Act, but new concerns have developed with problems that have occurred in the implementation of the new law. The main concerns of the country are if the Affordable Care Act will be able to overcome the issues that plagued the old healthcare system, the cost of the program, and how will the new law affect the quality of the health delivery system.
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.
In the early years of 2009 to 2010 the political process pushed health care through legislation led by Senate Majority Leader Harry Reid (Health care and government, 2013). This process was extraordinarily tiring, as many defenders of the bills passing were present. Many congressional members “dug their heels in”, and wanted to slow down the process even more as confusion about the bill was posed (Health care and government, 2013). Despite opposition by many sides of the American people, a Democrat-dominated House of Representatives passed the bill and the Affordable Care Act was signed into action on March 21, 2010 (Hogberg, 2013). Indeed, all three branches of government were instrumental with the passing the Affordable Care Act into place.
In recent years, the number of Americans who are uninsured has reached over 45 million citizens, with millions more who only have the very basic of insurance, effectively under insured. With the growing budget cuts to medicaid and the decreasing amount of employers cutting back on their health insurance options, more and more americans are put into positions with poor health care or no access to it at all. At the heart of the issue stems two roots, one concerning the morality of universal health care and the other concerning the economic effects. Many believe that health care reform at a national level is impossible or impractical, and so for too long now our citizens have stood by as our flawed health-care system has transformed into an unfixable mess. The good that universal healthcare would bring to our nation far outweighs the bad, however, so, sooner rather than later, it is important for us to strive towards a society where all people have access to healthcare.
Wise, N., & Taylor, F. (n.d.) Moving Forward With Reform: The Health Plan Pulse for 2012 and Beyond. Retrieved January 16, 2012 from
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.
Less than a quarter of uninsured Americans believe the Affordable Care Act is a good idea. According to experts, more than 87 million Americans could lose their current health care plan under the Affordable Care Act. This seems to provide enough evidence that the Affordable Care Act is doing the exact opposite of what Democrats promised it would do. On the other hand, this law includes the largest health care tax cut in history for middle class families, helping to make insurance much more affordable for millions of families. The Affordable Care Act has been widely discussed and debated, but remains widely misunderstood.
The Affordable Care Act, more commonly known as Obamacare, is a new health policy created by the American federal government. Its purpose is to make healthcare more affordable and friendly for the people. Unfortunately in some way that does not prove to be the case. It is becoming apparent that Obama may have made some misleading statements to help get the ACA put into action. The ACA is sprinkled with many flaws that call for a reform such as people’s current plans being terminated, high costs, and at minimum some people’s hours being cut by their employers.
"Another day, another headache for president Obama." The president had staked his entire first term on this, and if it fell through his whole presidency could have gone downhill, fast. Everybody loved the idea of healthcare reform, but are they willing to pay the price that it will cost? When making a bill such as this, every option must be open for discussion and every idea must be on the table.
A recent action taken by President Trump that has occurred in the past month is expected to be an extremely detrimental one. Trump and his cronies have successfully repealed Obamacare and are in the works to implement their new healthcare plan. The Affordable Care Act, also known as Obamacare, was enacted in 2010. It expanded medicaid to more adults, improved medicare to seniors, expanded employer coverage, and required most people to have healthcare at all times, which saved lives.
Health insurance facilitates entry into the health care system. Uninsured people are less likely to receive medical care and more likely to have poor health. Many Americans are foregoing medical care because they cannot afford it, or are struggling to pay their medical bills. “Adults in the US are more likely to go without health care due to cost” (Schoen, Osborn, Squires, Doty, & Pierson, 2010) Many of the currently uninsured or underinsured are forced accept inferior plans with large out-of-pocket costs, or are not be able to afford coverage offered by private health insurers. This lack of adequate coverage makes it difficult for people to get the health care they need and can have a particularly serious impact on a person's health and stability.