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Essay on policy making
Explain the Affordable Care Act law
Elements of the Affordable Care Act
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Introduction Public policy is a product of politics and a course of action that the government uses to address a problem (Magleby & Light, 2009). Public policies have several purposes. Climate change and opportunities are two examples of policy purposes. The policy process is difficult to achieve for several reasons. One reason is that not all citizen agree on the policy, especially if it takes away their benefits. Another reason is that policies to not always make it past the deciding to act step, which results in nondecisions (Magleby & Light, 2009). There are three types of public policy used by the government; distributive, redistributive, and counterdistributive (Magleby & Light, 2009)
Identification of Public Policy Types There are
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Following this, The Senate approved its version of the health care reform in a 60-39 vote (Timeline: Affordable Care Act, 2016). The act was then signed into law on March 23, 2010 by President Barack Obama. It was then upheld on June 28, 2012 by the Supreme Court (ObamaCare Facts: Facts on the Affordable Care Act, n.d). The act went into effect in January 2014.
Opinion on Recent Policy I believe that Obamacare is a work in progress. So far, it was gone well with its intended effect, but it can be improved. The act and program has granted many Americans affordable healthcare (ObamaCare Facts: Facts on the Affordable Care Act, n.d). With the creation of this policy, Americans have been given various options to chose from that fit their medical needs. However, a negative effect of the program is that new taxes had to be created so the program could be funded.
Comparison of Expected Outcome and Actual
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Through this polic, various health care associations, including Medicaid, have expanded (ObamaCare Facts: Facts on the Affordable Care Act, n.d). However, this policy has caused many tax increases. Many citizens do not agree with the tax increase. The policy has worked well, but there could be some improvements to the policy so that it can reach its intended outcome (ObamaCare Facts: Facts on the Affordable Care Act, n.d).
Explanation of Impact on Different Demographic Groups Differing policies will affect different demographic groups in various ways (Magleby & Light, 2009). For example, a policy on abortion will affect women more directly then it will affect men, It will also affect religious groups who oppose abortion more than those who are unbothered by abortion (Magleby & Light, 2009). Another example is that policies made for minorities will have a greater impact on those minorities. Non-minorities will not be as affected by the policy since it is not directed toward them (Dye, 2013).
Explanation of Policies Political Parties Engage
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.
Policy in my perspective illustrates as a decision making, planning and or action taken to achieve a certain specific goal within our society. According to Longest B. (2010), his definition stated in his text book states that a policy is defined as ” authoritative decisions made in the legislative, executive, or judicial branches of government that are intended to direct or influence the actions, behaviors, or decisions of others.” In developing a policy, certain steps need to be taken in act to implement the policy. The crucial steps in implementing a policy are: recognizing the problem, agenda setting, formulating the policy, and finally implementing the policy (N.A., 2015).
Public policies are developed in response to the existence of a perceived problem or an opportunity. The analysis delves into a public issue or problem and assesses a set of proposed government action for addressing the issue. The job of the analyst is to describe the background and status of an issue and then, using research and analysis, determine a proper government action to resolve the issue. By comparing options and weighing their expected benefits, the analyst should conclude with a recommended course of action or inaction to addressing the issue.
Many changes in health care insurance have been made to increase the amount of individuals with health insurance coverage. The Affordable Care Act (ACA) was enacted in 2010 in efforts to help solve some of the biggest issues that Americans faced with health care and its availability (The White House, 2016). As of today, more than 9 out of 10 Americans have health insurance (The White House, 2016). This means that 20 million people have gained health insurance since the ACA was enacted (The White House, 2016).
The author identifies some of the federal and state legislators that are also opposed to the Medicaid expansion in the writer’s district. US Senator John Cornyn says that the Obamacare Medicaid expansion program is formed to be wasteful, fraudulent, and abusive to the nation (Cornyn, 2010). According to US Senator Cornyn, “The $3.4 trillion federal taxpayers spend on the Medicaid program is a target for waste, fraud, and abuse. Instead of fixing these problems, the President’s new health care overhaul includes the largest expansion of the broken Medicaid program since its creation in 1965: it’s only going to get worse from here” (John Cornyn, 2010).
Many people have different opinions about the Affordable Care Act, but overall it is a good idea for America as a whole. Many Americans already like this health care reform. It will benefit many people and, in conclusion, is constitutional.
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.
According to Roy, 2013 the issues of providing the affordable care act will unite both the supporters and offenders of the public policy, but in this current situation where the input costs are rising, it will become impossible for government in managing the public policy related to affordable health care. In order to provide affordable health care, majority of the US government has tried out different policies time to time, but unable to get success in realizing the actual policy goals. By providing the affordable health care to majority of the people who requires more amount as controlling the input cost is not possible (AAMC, 2013). Lack of doctors is one of the primary issue in providing high quality health care to the citizens especially those who are financially poor. The Supreme Court of the country passed an Act related to Health insurance as all should have Health Insurance to all the country people by the year 2014, but the at the same time government is concerned about constitutionality of these act (NYTimes, 2013).
After the inception of ACA that is Affordable Care Act on March 23, 2010 various policies and regulations has been proposed which has more controversy (www.healthcapital.com, 2013). Affordable health act has impact on the stakeholders in different manner. The main concern in the medical field is the input cost which is increasing continuously. This is the biggest challenge for the US government as the increasing cost makes it impossible for the government to allocate appropriate resources in managing the requirements of the ACA public policy. There are more initiatives taken by the US government in implementing the ACA in an appropriate manner by continuously improving the quality of health care at affordable lower costs (www.healthcapital.com, 2013). According to Kaiser Health Tracking Poll conducted in March 2013, about 40% of the public are against the ACA and 37% are supporting the ACA which satisfies the legislative requirements (www.healthcapital.com, 2013). Key issue in health care industry is the quality of doctors and the number of doctors available, this ACA mainly aims to address the issue of all citizens especially poor. The constituency of the act makes the US government to think about the Supreme Court Judgement about emphasising all citizens should have health insurance (NYTimes, 2014).
Recently in 2010 President Obama restructured the healthcare system to work more efficiently. The new program is called the Affordable Care Act, which went into law on March 10, 2010 (Obamacare, 2015). The new healthcare system is putting in place comprehensive reforms that will improve access to affordable health coverage for everyone and protect consumers from abusive insurance
Under the Affordable Care Act one of the most important provisions is to expand health care to low income families through Medicaid. This could have an effect on over eight million people who do not have access to health care currently. However 25 states have decided against expanding Medicaid benefits, leaving 13.5 million people less likely to receive basic health care and preventative ...
We are the wealthiest country yet we don’t have free universal health coverage. The insurance companies are attempting to manage cost through price controls and we’re still having to pay out of pocket for a lot of the expenses. Personally I think that The Obama Care (and the Affordable Care Act) will have little to no effect on me until maybe later in life because the insurance I have works great for me. I do have to meet my deductible every year, and it depends on which doctor I go to if I have a copay or
1. The purpose of this response is to assert the active role of public managers in policy making. By using their technical, analytical and managerial skills public managers can be effective in the policy process and just in implementation.
Public policy can be defined as “What ever governments choose to do or not do” (Dye, 2008, p 2). In the context of this essay, public policies are a set of actors by the government in order to reach out to the masses. The ministries and departments are mandated to deliver specific mandates in the form of public goods and services.