Adequate Measurement Of The Patient Protection And Affordable Care Act

“There are three basic goals for a National Health Care System; 1) keeping people healthy, 2) treating the sick and 30 protecting families against financial ruin from medical bills”, (Physicians for a National Health Program, 2016). No truer statement could there possibly be written or proclaimed as there is a crisis in healthcare costs across the United States. United States, one of the most developed western country, yet we suffer from – higher infant mortality rates, have shorter life spans and are affected by more chronic disease and or illness – than our contemporaries all while spending the most for insurance per capita and less annual doctor visits with less physicians, (OECD Health Data 2015). There is a question to be answered, “why”, why are we trailing our contemporaries and more important than that is, is our National Health Care system really working for us? The year 2010 was the beginning of change in the United States where we transitioned from primarily private insurance and welfare to a universal healthcare model, under President Obama with the signing into Law of the Affordable Health Care Act March of 2010. The purpose of the Affordable health care act is to ensure that all Americans have access to affordable healthcare, however in 2016 we are still questioning we’ve been successful based on funding, government sponsored healthcare programs, effects on the current HCO, elderly, military and accessibility.

I will compare the current health care system with the new Patient Protection and Affordable Care Act (ACA) that became law on March 23, 2010.   The current system, which is being phased out between 2011 and 2018 is increasingly inaccessible to many poor and lower-middle-class people. About 47 million Americans lack health insurance, an increase of more than two million people from 2005 (Rover, 2011) the increasingly complex warfare between insurers and hospitals over who pays the bills is gobbling up a great deal of money and the end result is that the United States pays roughly twice as much per

According to the Garber & Skinner (2008), the United States spends more on health care than other nations but continues to score below other nations in numerous areas of measurement. These scores in, consideration with amount spent, suggest that healthcare is the United States is inefficient. Additionally, the United States has a significantly large portion of under

Though the spending has lessened in recent years ,when compared with other economically developed countries the cost of the health care in U.S is much higher and ranks poorly on quality indicators (Burke & Ryan, 2014).Evidence suggest that patient quality outcomes not generally correlated with variation spending .Beneficiaries are expected and deserved for high quality care within affordable

America spends 2.5 times more on healthcare than most developed countries yet still ranking 51st in life expectancy in the world (Baum, 2015). The Affordable Care Act (ACA) was implemented January 1, 2014 by President Obama to expand coverage to millions of individuals in need. It consists of two separate pieces of legislation: the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (Centers for Medicaid and Medicaid Services, 2016). Although the ACA will give health benefits to millions of uninsured Americans, hospitals are receiving less compensation because of the high demand of health care from over qualified recipients. Through the Children’s Health Insurance Program and also the Social Security Act, states are able to pilot a test approach that could extend coverage up to 200 percent of the poverty line (Sommers, Kenney, & Epstein, 2015). Such a large increase in the size of the population that is now eligible to apply for the ACA comes with a sizable amount of fiscal responsibility from the states and puts an immense strain on the amount of money guaranteed to pay for the services provided (Sonier et al., 2013). Given the lack of funding from the Medicaid program, absence of reimbursement strategies, and budget of healthcare in America’s Gross Domestic Product (GDP),

America faces a choice, keep The Affordable Care Act (ACA), also known as Obamacare, or scrap it and come up with something better. The ACA in its entirety leaves room for improvement. It could do better, much better, if it weren’t for matters of political expediency. Currently the United States spends more on health care than any other country. According to a Huffington Post article (2013) the U.S. spends about 17.2 percent of their GDP on medical care. Health care per capita is approximately $8,608, second only to Switzerland, which spends $9,121.

The single most important impetus for healthcare reform throughout recent history has been rising costs (Sultz, 2006). In the book called The healing of America: a global quest for better, cheaper, and fairer health care, Reid wrote that the nation’s health care system has become excessively expensive, ineffective, and unjust. Among the world’s developed nations, the US ranks near the bottom for healthcare access and quality. However, the US ranks at the top for health expenditure as a percentage of the Gross Domestic Product (GDP) and average of $7,400 per person (Reid, 2010). Therefore, Americans are spending

The rise of the cost of healthcare has been a hotbutton political issue in the United States in recent years, especially with the passage of the Patient Protection and Affordable Care Act, commonly known as Obamacare. In 1995, the United States spent a little over 13 percent of its GDP on healthcare. By 2013, spending on healthcare had increased to around 17 percent of GDP (World Bank). This trend is projected to continue; healthcare spending will reach some 34 percent of GDP by 2040, with state and federal Medicare and Medicaid spending reaching 15 percent of GDP (Council of Economic Advisors). For comparison, the entire US federal government spent only 20.7 percent of GDP in 2015 (Office of Management and Budget 163) What is driving this

According to the Centers for Medicare and Medicaid Services (CMS), health care spending in the United States has grown at a rate of 3.7 percent since 2012 to $2.8 trillion, costing the U.S. 17.9 percent of total its GDP and ranking it number one spending on health care (Martin et al 67; world bank). Despite having the most expensive healthcare per capita, according to The Commonwealth Fund - a private American foundation dedicated to the promotion of a high performance healthcare system - the U.S. ranks at the bottom of the top ten wealthiest nations in terms of “access, efficiency, and equity” (Davis

In 1998, the United States devoted 13% of its economy to health care, and this figure rose to 16% by 2008. However, despite this rise in government expenditure on health care, outcomes for patients remained the same (Obama, 2016). The quality of the health care system in general was not great; health care

According to data presented by Organization for Economic Co-operation and Development (OECD), the US health care cost exceeded $ 8,000 per capita, in 2010, comparing to the next most expensive system (Norway) $5,000 per capita (OECD Health Data, 2012). Despite being the most expensive system in the word, US healthcare system has failed on many areas of performance and quality. According to OECD data, US has much lower life expectancy than other industrialized countries, also the infant mortality rate is higher than those countries. Moreover, the US is the only industrialized country that does not provide its citizens a protection of a universal health care coverage.

Health care in the United States is driven by a patchwork of services and financing. Americans access health care services in a variety of ways — from private physicians’ offices, to public hospitals, to safety-net providers. This diverse network of health care providers is supported by an equally diverse set of funding streams. The United States spends almost twice as much on health care as any other country, topping $2 trillion each year. (WHO.INT 2000) However, even with overall spending amounting to more than $7,400 per person, millions of individuals cannot access the health care services they need.(Foundation 2009) So when the Patient Protection and Affordable Care Act (a.k.a the Affordable Care Act or ACA) was passed in the summer

According to data presented by the Organization for Economic Co-operation and Development (OECD), the US health care cost exceeded $ 8,000 per capita, in 2010, comparing to the next most expensive system (Norway) $5,000 per capita (OECD Health Data, 2012). Despite being the most expensive system in the world, US healthcare system has failed in many areas of performance and quality. According to OECD data, US has a much lower life expectancy than other industrialized countries, also the infant mortality rate is higher than those countries. Moreover, the US is the only industrialized country that does not provide its citizens a protection of a universal health care coverage.

In fact, the spending disparity between the U.S. and the other twelve countries is so vast that only the graph shown above can truly do it justice (commonwealth fund OECD Health Data 2016). The most shocking fact to consider is that despite such high spending, the U.S. still performs worse than these countries on health care. Where the quality of performance is determined by quality, access, efficiency, equity, and life expectancy the U.S. ranks dead last out of the twelve countries. With the exception of Switzerland, the second highest spending country, all of these countries have health care systems that are single-payer, universal, or both

The introduction of the Patient Protection and Affordable Care Act of 2010 has been the best perspective to allocate resources to improve access, cost, and quality of care to all Americans in recent years. It is has allowed the expansion of Medicaid, which in turn provides coverage to millions of low-income Americans, it extended family coverage for children to twenty-six years old, and ultimately, more than seventeen million Americans have gained health insurance thanks to the Affordable Care Act. Quite impressive, yet it is not as appealing as it seems; for the government implemented a plan attempting to create universal healthcare within the private sector. This, in course, made few rates fall while many others rose. An online article