The Failed Government Policy : The Causes Of The Affordable Care Act?

In 1993 First lady Hillary Clinton was assigned to a proposal to reform healthcare with the goal to become universal by US president Bill Clinton, this reform was titled Task Force on National Health Care Reform (Boundless, n.d.). At that time, 37 million Americans did not have health insurance and the cost to obtain health insurance was very unaffordable to the middle class (Boundless, n.d.). The main purpose of this reform was to mandate employers to provide health coverage to all employees HMOs’. However, this reform was aggressively opposed by the health insurance industry, libertarians, and conservative republicans stating that it was restrictive to the employees choice (Boundless, n.d.). Additionally, they argued that the proposal a

There are many speculations of why the Health Reform failed. Some say that Bill Clinton (president at the time) should have took certain sides. The sides of extending Medicare or going along with someone else's plan. Some would even say because he was a Democrat and the Republicans wanted their name on it. Regardless, of the reason, it failed. During the presidential campaign, Bill Clinton wanted to propose health insurance package basically with low payments with those that could not afford health care could now afford it.

Texas’s decision the not expand Medicaid under the Affordable Care Act has took a toll on many Texans. Texas is one of many states yet to expand the Medicaid program. With the decision not to expand Medicaid, it have left many low-income families uninsured and without an option for affordable healthcare. Texas has the highest number of people uninsured in the Unites States of America. The change has now entered the third year and only 30 states have expanded the program. There is an ongoing outreach to get Texas state leaders to expand the coverage.

The Patient Protection and Affordable Care Act (ACA) is the 2010 health reform act that could extend insurance coverage to as many as 32 million Americans, which also included policies that affect the quality of coverage insurers must offer (Knickman & Kovner, 2015). In addition to this, the ACA created a range of programs focused on furthering change in how medical care is organized and delivered, with a goal of reducing costs and improving quality and outcomes (Knickman & Kovner, 2015). However, these goals come at a cost. The purpose of this paper is to analyze the impact the ACA had on the population it affected in the United States as a nation, but specifically in the state of North Carolina; describe the impact of economics of providing care to patients from the organization’s point of view; examine how patients were affected by the ACA in terms of the cost, quality, and access to treatment; and explain the ethical implications of the ACA.

Charles Lindblom, author of the historic 1959 article, The Science of Muddling Through, considered the workings of modern government and presented a convincing explanation for why gradual or incremental policy change is more effective. Lindblom also offered why extreme changes in policy that underestimates what society’s motivation will fail. He argued that successful governments are viable because such “mutual adjustments.” “Mutual adjustment is more pervasive than the explicit forms it takes in negotiation between groups: it persists through the mutual impacts of upon each that even when they are not in communication” (Lindbolm, p.85). The imperfections discovered in the mutual adjustment process often leads to compromise and the adaptations of polices to the broader spectrum of individuals and interests. According the Lindblom’s second article, Muddling, Not Yet Through, published in 1979, he reinforced his beliefs in incremental changes. Lindblom stated, “A fast-moving sequence of small changes can more speedily accomplish drastic alteration of the status quo than can only infrequent major policy change.” Times have changed since Lindblom’s first article. Although political and societal views have evolved, this article still holds merit in the implementing of the Affordable Care Act. In simple terms, taking “baby steps” to implement

The Affordable Care Act was definitely a Democratic piece of legislation. The Republicans “firmly opposed the act and not a single Republican voted for the final version that Obama signed into law” (“Republican Views on Health Care”, 2014). Republicans thought that this piece of legislation would ultimately cause the demise of our health care system. The U.S. Senate authorized the H.R.3590 bill by a vote of 60 to 39 (“H.R. 3590- Senate Vote #396”, n.d.). The U.S. House of Representatives authorized the H.R. 3590 bill by a vote of 219 to 212 (“H.R. 3590-House Vote #165”, n.d.). Furthermore, the bill was sponsored by Democrat Charles B. Rangel. It was co-sponsored by thirty-seven Democrats and three Republicans which are: X. Becerra, S. Berkley, E. Blumenauer, G. Brown-Waite, J. Courtney, J. Crowley, A. Davis, D.K. Davis, L. Doggett, B. Etheridge, B. Filner, A. Green, L.V. Gutierrez, B. Higgins, H.C. Johnson Jr., W.B. Jones Jr., S. Kegan, R. Kind, J.B. Larson, S.M. Levin, J. Lewis, J. McDermott, J.P. McGovern, K.B. Meck, W. Minnick, D. Moore, R.E. Neal, B. Pascrell Jr., G.C. Peters, T.R. Platts, E. Pomeroy, L.T. Sanchez, A.Y. Schwartz, I. Skelton, F.P. Stark, J.S.

Basic changes were needed in the way Americans got health coverage. Trying to figure out what it was going to cost them starting in 2014, when major parts of the Affordable Care Act, also known as “Obamacare”, went into effect was the challenge. The four main ways Americans experience healthcare once the Health Reform Law was fully in effect were coverage by an employer, the government, buy it themselves or have none. About half of Americans get insurance through their jobs. About one third through the government like Medicare and Medicaid. About one in ten purchase insurance themselves. And still another 30 million, just under one in ten, no coverage at all.

Rather the Republican party doubted the mere existence of the Affordable Care Act would be befitting for the American people the increasing number of those now insured is undoubtedly a notion that the nation is moving in the right direction toward health care reform.

Dr. Atul Gawande wrote a piece for the New Yorker titled “Now What.” It was published just one short month after President Obama signed into law the Affordable Care Act (ACA), and it addresses a few points of consideration surrounding the controversial law, points that have since compounded into intense debates. For anyone who has glanced at a newspaper or navigated the internet between then and now, it’s impossible to miss; the tension created from the passing of the ACA is palpable. Four years later, the ACA remains a hot topic, especially in political circles.

The citizens of the United States are burdened with many hardships. Most of these hardships stem from poor political policies and programs set forth by past politicians. However, politicians cannot be the only blame. This country is relatively young. Our political policies are still in somewhat of a “beta” period. We only learn from trial and error. This country is in the middle of a political shift. Now is the time to make the necessary changes to mold and shape our future society for the better. Far too long have Americans been denied basic necessities such as education, food, employment, and most importantly healthcare. The healthcare crisis has been the topic of debate for many years among politicians across all the governmental factions. The catalyst applying the brake on healthcare progress has been a strong division of politicians on what is ethical and what is legal when it comes to the government putting its foot in the door. Along with that debate there is also whether or not the government should do anything at all or just let the private sector and the citizens hash it out. Throughout U.S. history many attempts have been made to reform our healthcare system to no avail. Healthcare reform is clearly an issue that takes great socioeconomic knowledge and political tact. President Barack Obama is the first president to present us with such a plan. This plan is known as The Affordable Care Act or “Obamacare” (a term coined by a group of Republicans to disenfranchise

But being that in order to repeal something the whole overall process would be a long and difficult one. With the Health care change being a huge topic in recent years with the passing of the Affordable Care Act (Obama Care), as well as the most recent presidential election and each party having to take on objectionable act that was passed. Both campaigns chose to target that with the republicans wanting to repeal the act all together and push their own agenda. With recent articles regarding to the opinion of Obama Care, things seem very divided between people on what side they would chose to support. With the democrats showing a 65-80% favorite towards the act while the republicans public opinion is around the 20-25% approval of the health care act. The Democrats do not want a repeal without suffice able replacement or revision because up to 14 million Americans would lose health Care. With the act being in affect for several years now not many knew the cost associated with this program and at the time the democratic party used the media to persuade their agenda and get the popular opinion in order to pass the

Basic changes in the way Americans will get health coverage and what it will cost starting in 2014, when major parts of the Affordable Care Act, also known as “Obamacare”, go into effect.

Clinton’s attempt to pass healthcare reform fail because of the great lost political opportunities where the deals were never close due to the decisions of the groups between Republicans and Democrats.

Welfare was accepted as a success and continued for almost sixty years. In the 1990’s Americans began to question the effectiveness of the government welfare system. In 1992, President Bill Clinton took office. One of his main problems to address while in office was the corrupted welfare system. After four years of brainstorming and planning, the United States Government decided upon how to eliminate the corrupted members of society from collecting government welfare.

When President Clinton was elected in 1992 he was given the task to design a health care reform proposal that provided health care benefits for all Americans. When Clinton was elected the country was suffering from setbacks in the realm of healthcare polices from the previous president. With congress being one of the key players they started to develop plans that would provide universal health coverage ideas with: physicians, large businesses, lawmakers, and many interest groups.