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Affordable care act medicaid expansion
Affordable care act medicaid expansion
Affordable care act medicaid expansion
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Fiscal policy is the means by which a government adjusts its spending levels and tax rates to monitor and influence a nations economy. In order to find the solution we need to address the core problem which is government spending and where it goes, majority of government spending goes to health and Medicare. The mandatory spending projected in 2015 is 2.45 trillion dollars in the fiscal year 986 billion of that money will go to healthcare alone! In United States fiscal policy, mandatory spending is spending on certain programs that are required by existing law. Meaning that we have no other choice but to cover those who are eligible for Medicare or any healthcare program if qualified. Obama care is a perfect example of a policy …show more content…
A few things Obama care does is it offers Americans new benefits, rights, and protections geared toward their healthcare, it allows Americans the acess to purchase health insurance that is federally regulated. Obama care also includes expansions on Medicaid and Medicare, and introduces new taxes and tax breaks. Americans who make under the 400% of the federal poverty level may qualify to receive cost assistance subsidies, which includes a premium tax credit for a reduction in premium costs, you pay less out of pocket, and can either be eligble to receive Medicaid or CHIP. Before Obama care a person could have been denied coverage or treatment for having a past existing condition or have been sick in the past, if you where woman you were charged more, and if any small mistake was made on your application you could be dropped in the middle of your treatment with Obama care that is no longer …show more content…
New services will be provided to Medicare enrollees that weren’t previously included, such as screening for cancer, blood pressure, and diabetes. Prescription drugs are now cheaper and as of now eight point nine billion dollars where saved because of Obama care. Obama care also helped with fighting healthcare fraud and increased the federal sentencing for any fraud offences. In the year 2013 three hundred and forty five people where charged with health care fraud and where all sentenced to at least a fifty-two months in prison. In the last five years The Health Care and Abuse Control Program retrieved nineteen point two billion dollars in fraud. In the upcoming paragraphs I shall be discussing the theoretical framework of Obama care and why all these rules and regulations where
The documentary Obama’s Deal narrated by Jim Gilmore highlights the 44th Presidents’ endurance as he fought against a great resistance in reforming healthcare. This bill was the most complex bill in modern times says Gilmore. The Affordable Care Act eventually deemed Obama Care was a signature issue and Obama spent most of his first term focusing on this specific reformation. For the first African American President, the pushback was astronomical, and excuses were abundant, but he needed to prove that Washington could solve bigger problems so he relentlessly pursued every avenue he could explore to push this bill in the direction of reformation.
The Frontline documentary, Obama’s Deal, tracks the course of Obama’s healthcare reform and the steps taken by the administration to get the bill passed. Healthcare was, and remains, one of the biggest platforms of the Obama administration and one of our nation’s greatest challenges. The film starts with Obama’s election into the White House in 2009. Rahm Emanuel, who had worked for the Clinton administration, was brought in to advise Obama on the reform. To win, Emanuel knew that Obama would have to move quickly as his campaign would be strongest at the beginning. But his crucial flaw was having Obama take a back seat on his own political agenda. Emanuel tried to change his mistakes from the Clinton administration’s healthcare failure, and
First and foremost is the fact that it has provided upwards of 32 million Americans with some type of health insurance coverage. With the passing of the law, all insurance companies are now required to cover ten essential health benefits, including but not limited to mental health, addiction and chronic diseases. This saves money because these are the very people that would end up in the emergency room for treatment if they do not have access to healthcare. It has removed the stigma of preexisting conditions and now ensures insurance companies will no longer be able to deny coverage because of medical conditions and the insured can no longer be dropped or experience increased premiums should they develop a catastrophic illness. The lifetime and annual limits on coverage were eliminated which will help those who encounter tragic injury or illness; possibly preventing them from bankrupting themselves trying to pay for life saving measures. Children can now remain on their parent’s policy up to the age of 26. This alone has supplied around 3 million people with insurance coverage that they didn’t previously have (Shaffer, 2013). Health care reform gave each individual state the opportunity (although not all exercised this right) and option to expanded Medicaid rosters, making the threshold 138% of the Federal poverty level (Chang & Davis, 2013). The Affordable Care Act which includes the Prevention and Public Health
For decades, one of the many externalities that the government is trying to solve is the rising costs of healthcare. "Rising healthcare costs have hurt American competitiveness, forced too many families into bankruptcy to get their families the care they need, and driven up our nation's long-term deficit" ("Deficit-Reducing Healthcare Reform," 2014). The United States national government plays a major role in organizing, overseeing, financing, and more so than ever delivering health care (Jaffe, 2009). Though the government does not provide healthcare directly, it serves as a financing agent for publicly funded healthcare programs through the taxation of citizens. The total share of the national publicly funded health spending by various governments amounts to 4 percent of the nation's gross domestic product, GDP (Jaffe, 2009). By 2019, government spending on Medicare and Medicaid is expected to rise to 6 percent and 12 percent by 2050 (Jaffe, 2009). The percentages, documented from the Health Policy Brief (2009) by Jaffe, are from Medicare and Medicaid alone. The rapid rates are not due to increase of enrollment but growth in per capita costs for providing healthcare, especially via Medicare.
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.
In 2010, President Obama signed into law the Affordable Care Act in order to bring reform to the current healthcare system. The law was designed to provide healthcare coverage for people that did not have access to healthcare, improve the quality of the types of healthcare provided, and contain costs (HHS, 2014). Some of the features of the law are:
Deficit spending happens when a government grows its debt, meaning that its spending is greater than its income. (Deficit Spending, 2008) Deficit spending is a fiscal policy, that when used appropriately can do some amazing things, like pull the United States up from its bootstraps effectively ending The Great Depression. President Hoover increased government spending by 50% and used the money to fund public works and infrastructure projects from 1928 to 1932. (Deficit Spending, 2008)
The U.S budget deficit over the years has been a problem but lately the deficit has shrunk. However, what made the U.S budget deficit get to where it is today and what will it be like in the years to come. Throughout the past the U.S has operated under a deficit. This means that the U.S Spent more money than it was taking in. The cause of the excess in spending was different depending on which year. Some of the causes were war, increase in spending , and economic downturns. There were different acts passed to try and control the deficit problem. The deficit at the present time is declining. This decline is due to the improving economy, sequester, and a tax increase on high-income households. The big factor that went into the decline in the deficit for 2013 was the payment that Fannie Mae and Freddie Mac made. The deficit decline in the present time may make some think the U.S could get out of debt but it has been projected that the U.S deficit will start to increase once again.
The people of the United States have been suffering from a number of serious issues, all related to health care: millions go uninsured every year, health care is too expensive, and the quality of care is poor, especially for the price. The Patient Protection and Affordable Care Act, commonly referred to as the Affordable Care Act (ACA) or Obama Care, began addressing these issues. The ACA is a United States federal statute signed into law by President Barack Obama on March 23, 2010. The law was enacted with the goals of increasing the quality and affordability of health insurance, lowering the uninsured rate by expanding public and private insurance coverage, and reducing the costs of healthcare for individuals and the government. Although several of the act’s promises have not come into effect yet, it has managed to extend healthcare to the repetitively uninsured. While many of the accomplishments that the act has already made, and aims to make, are no small feat, there are still issues within the policies and procedures. For example, Obama Care boasts that it is a universal healthcare system. However, it is unlike any other in the world, and is technically forced on citizens in a variety of ways. It has been debated, that for that reason, the new law may come into violation of several human rights. Another significant issue with the ACA regards a cap on citizen’s out-of-pocket expenses, and the fact that the administration decided to delay making a definitive decision, potentially costing many American’s unprecedented medical fees.
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.
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.
During president Obama’s first term presidency, he created the bipartisan national commission on the fiscal responsibility and reform to address out nations fiscal challenges. The duty of the commission is to identify policies that will improve the fiscal situation in short term and sustaining it over long run.
“Medicare and the New Health Care Law — What it Means for You.” (2010). Medicare Publications, http://www.medicare.gov/Publications/Pubs/pdf/11467.pdf
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.
In economics, the fiscal multiplier is the ratio of a change in GDP due to change in government spending. When this multiplier exceeds one, the enhanced effect on GDP is called the multiplier effect. The mechanism that can give rise to a multiplier effect is that an initial incremental amount of spending can lead to increased consumption, increasing income further and hence further increasing consumption, etc., resulting in an overall increase in GDP greater than the increase in government spending.