The Affordable Care Act ( Aca )

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Like many, my previous opinion regarding the Affordable Care Act (ACA) was primarily based on political and philosophical differences with the legislation and its supporters/opponents. While I continue to have an ideological difference to many of the principles in the ACA, I do now realize that this legislation does have some theoretical positive aspects regarding a shift towards more managed care and the increasing encouragement of Accountable Care Organizations (ACOs). This shift has the potential to be helpful in terms of cost controls as it makes a substantial shift towards outcomes and away from fee per service care. ACOs also have great potential for helping to reduce overall costs in high risk, high cost patients (Powers & Chaguturu, 2016). This can be extremely beneficial as this high cost group is only a small percentage of our population but makes up the majority of our healthcare spending. It appears that the legislation at a minimum also helped to increased public awareness that we have a cost and quality problem, and I believe this recognition is helpful long term. However, I am still under the belief that the content of the legislation was built primarily for the benefit of the powerful lobbyists throughout the healthcare industry (i.e. insurance companies, AMA, etc.) and very little was included that would encourage the type of long term changes in the way we view healthcare and personal responsibility to be truly effective. The majority of the plans on the

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