Massachusetts : Pioneers Of Universal Health Care

Health care has been a controversial topic of discussion for all Americans since it was put in effect many years ago. Currently the biggest debate of Healthcare up to date is Obama’s Patient Protection and Affordable Care Act, also known as Obamacare, is a Health care Reform that is a governmental attempt to make basic health care easily obtainable. However, there are no benefits without cost in situations like this, and upon that are different viewpoints on the subject thus creating political debates discussing if it is ethically correct. The overall goal that Obamacare hopes to accomplish is that through specific changes through insurance companies, industry standards, and patient guarantees a healthier America will be produced. Obamacare has its ups and downs for both the generally agreeing democratic viewpoints and the opposing republican side. Both viewpoints have their own beliefs about how Health care works and Obamacare is somewhat in between on this. Most arguments on Obamacare deal with Medicaid being constitutional and if Obamacare truly reduces the total cost of health care for individuals and in the government.

Critically analyze the implications of the state’s decision to opt out of Medicaid expansion on the citizens of the state.

The concept of providing basic healthcare services to individuals in need has undergone an agonizing transition, from a luxury once only afforded by the affluent to a basic human right granted to citizens of every economic station, and the recently enacted Affordable Care Act (ACA) was designed to finalize this ethical evolution. Reflecting perhaps the bitter political enmity currently consuming the nation's once cherished democratic process, Republican legislatures in states throughout the union have bristled at the ACA's primary provisions, threatening all manner of procedural protestation as they attempt to delay and derail the bill's eventual implementation. One of the most intriguing aspects of the sprawling, thousand page law, however, has been the stipulation that individual states will be given a choice to either accept federal funding to expand their statewide Medicaid roster, or to forfeit all federal funding for that program in perpetuity. The role of government in monitoring and regulating the healthcare industry has been long debated, and the bitterly contested passage of President Obama's ACA, a law aimed at revising the country's health insurance system through the creating of a federal health insurance exchange to facilitate increased competition among insurers, has rekindled the debate over who holds the ultimate responsibility for regulating the care provided by hospitals, community clinics, and private practices.

Simultaneously, health and healthcare policy plays a tremendous role in the quality of life of every American. Likewise, by the government constantly interceding, health and healthcare is significantly influenced by the political climate and undertakings of administration; therefore creating a conflictual split between republicans and democrats. Health care is regarded as a product rather than a human right shaped by policymaking. Policies establish healthcare service stipulations, which are rooted in local, state, and federal statutes combined with landmark court decisions. Not only does policy focus on healthcare services; but, it also places a substantial emphasis on cost-efficiency and equality.

On March 23, 2010, President Obama signed the “Affordable Care Act” into law. Under this law all Americans have access to quality affordable health care. The main concern for many Americans about the Obama’s Health-Care plan is the fact that they will lose the freedom to choose. Choosing health-care benefits, doctors, and high deductible coverage is important to every insured American citizen, so why would Obama change that? In his speeches, Obama has promised Americans that they will be able to keep their existing health-care coverage but the proposed bills tell a different story. Both bills require that Americans buy approved plans that have a number of universal benefits or face penalties.

The Massachusetts Health Care Act of 2006 was an attempt to give healthcare to all of the residents of Massachusetts. The law mandated that nearly every resident of Massachusetts obtain a minimum level of insurance coverage, provided free health care insurance for residents earning less than 150% of the federal poverty level and mandated employers with more than 10 "full-time" employees to provide healthcare insurance. The law was amended significantly in 2008 and twice in 2010 to make it consistent with the federal Affordable Care Act. Massachusetts ' recent health reform has decreased the number of uninsured, but no study has examined medical bankruptcy rates before and after the reform was implemented. These brief statements say a lot about the health care plan and what it was designed to do. The plan was created by Governor Mitt Romney in Massachusetts beginning in 2005. As a public figure, the people either adored him or despised him. With his plan to control health care in the state of Massachusetts, the success rate was then determined by his popularity throughout the state, with his ability to make the act a form of succession to meet the needs of the people of his state.

Barack Obama was elected on November 4, 2008 to be the president of the United States. As he is the president, he implied many new suggestions in the United States, for example, the Affordable Care Act or The Patient Protection also known as Obamacare. The health care reform also known as The Patient Protection and Affordable Care Act or simply Obamacare became one of the most ambitious projects in the history of the United States since the mid-1960’s.1 This is the first attempt to reform the U.S. Health Care system of the United States since the 1960s, when the President Johnson created public Medicare and Medicaid, to help pensioners and the poor. The current reform was attempted back in 1993, however, unsuccessfully by Clinton’s

Since the implementation of the Affordable Care Act (ACA) in 2010, there has been a continuous debate about the effects it will have on the United States economy. Many people argue that expanding insurance coverage for all people will create crippling cost burdens for the economy and taxpayers. While others believe that the ACA will in fact give the economy a much-needed boost. In 2006 as a measure to improve overall healthcare, the state of Massachusetts implemented the Health Care Insurance Reform Act. This paper looks at the positive and negative effects of the Massachusetts Health Care Insurance Reform Act (MHRA). Using a literature review of public health studies ranging from 2009-2012, I argue that there are both positive and negative effects of the Massachusetts Health Care Insurance Reform. While the Massachusetts Reform increased health insurance coverage for all citizens and decreased the number of uninsured citizens accessing emergency rooms, it also did very little to decrease already existing racial, ethnic, and socioeconomic disparities among minorities and whites in the state of Massachusetts. Understanding the Massachusetts Health Care Insurance Reform Act may help in the goal of trying to achieve near-universal healthcare. This paper provides an understanding of the missing pieces in the Massachusetts Health Care Insurance Reform Act and constitutes a starting place from which to understand the Affordable Care Act.

Massachusetts has undergone many changes in their health care system since enacting a universal health care law in 1988. The effects of the Massachusetts health care laws are a good indicator of what people should expect from the enactment of the ACA. The multiple health care reforms in Massachusetts were in an attempt to increase health care coverage while still maintaining financial stability.

When U.S. President Barrack Obama signed the health care reform bill into law in March 2010, opposing political pundits were quick to brand the initiative as government takeover of the healthcare system and pejoratively described it as socialized medicine. I considered it my civic duty to look a little deeper into the pros and cons of the issue as earlier research findings had reported 45,000 Americans died annually for lack of health care coverage (Robertson, 2009).

Medicare is a federal program that makes an authorized privilege to health benefits for the elderly and disabled. It also undermines the right of workers to control their retirement savings and the freedom of elders to control their own health care. On the other hand, Medicaid creates an entitlement to health benefits for the poor. While I realized that Medicaid and Medicare were federal programs offered by the U.S. government, I did not know whether some states expanded or restricted Medicaid/Medicare. For this issue analysis, I set out to discover more data about how some states react towards the extension/restriction of Medicaid/Medicare. Questions I hope to answer through my research incorporate the following: How does Medicaid/Medicare benefit or harm the government/society? What are the actions of certain states that chose to neglect or bolster Medicaid/Medicare? What laws/acts have been proposed to support Medicaid/Medicare?

Four years ago, Massachusetts’ Medicaid program (called MassHealth) faced a crisis. The eEligibility rules of the Affordable Care Act required the state to change eligibility systems and the initial effort to build “the Cadillac” of eligibility systems ended in a costly spectacular failure, and an FBI investigation as a result of a Pioneer Institute report drawn from inside whistleblower accounts.

The health care reform debate between 2008 and 2010 led to the passage of Patient Protection and Affordable Act. It was reminiscent of opportunities for reform that have occurred on a cyclical basis throughout American history. These opportunities occurred most notably in the presidential administrations of Franklin Roosevelt, Harry S. Truman, John F. Kennedy, Lyndon B. Johnson, Richard Nixon, and William J. Clinton. (Rich, Cheung, Lurvey, 79). We have to look at recent opportunities that have expanded today.

U.S. health care reform is currently one of the most heavily discussed topics in health discourse and politics. After former President Clinton’s failed attempt at health care reform in the mid-1990s, the Bush administration showed no serious efforts at achieving universal health coverage for the millions of uninsured Americans. With Barack Obama as the current U.S. President, health care reform is once again a top priority. President Obama has made a promise to “provide affordable, comprehensive, and portable health coverage for all Americans…” by the end of his first term (Barackobama.com). The heated debate between the two major political parties over health care reform revolves around how to pay for it and more importantly, whether it

In 2006 the state of Massachusetts wanted to help its millions of citizens who were uninsured. The state legislators as well as the governor put into place a plan to help citizens get insurance. A law was passed to reform insurance in Massachusetts, which was known as Chapter 58 of the Acts of 2006 of the Massachusetts General Court; its long form title is An Act Providing Access to Affordable, Quality, Accountable Health Care.