The federal government within the United States is established on the grounds of a tripartite form as separate powers are assigned to each division of the government. However, the legislative and the executive branch play crucial roles in executing laws under the federated system (Sidlow and Henschen 260). Yet, differences exist within each body, allowing for clashes to take place affecting the way the bureaucracy functions. For example, considering one of the most controversial issues evident within the contemporary generation is the implementation of the Affordable Health Care Act. Since the start, the ACA has been under the radar due to oppositions addressed by different ideologies and political parties (Semro, Huffingtonpost.com) implying the challenges present within the democratic form of the government. The legislative process carried out within the congressional system is designed to serve a pivotal purpose yet; complications are bound to be present at a federal level. Such as, the obstacles that sprung up during the implementation process of the ACA legislation (Semro, Huffingtonpost.com). For example, the Republicans held an intense opposition towards the ACA within Congress and the states (Schultz, PAtimes.org) and still hold a conservative ideology towards Obamacare due to which the Republicans have been in the process of repealing the law on national grounds (Berman, theatlantic.com). Furthermore, the House Republicans have voted fifty-four times in order to
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.
The Affordable Care Act (ACA) has been a topic of dispute since its introduction and continues to be discussed by politicians in the U.S. and throughout the world even after its passage. The Act has many opponents and is the cause of much controversy nationwide, primarily because it introduces higher healthcare costs for the richest citizens. Nevertheless, the ACA is an important stage in the American healthcare development process as it not only allows more people to receive healthcare services, but will also reduce the deficit. However, not everyone agrees. The policy is controversial in terms of cost vs. benefits, but the benefits ultimately outweigh the costs.
The Affordable Care Act (Obamacare) is a healthcare program created by president Obama’s administration. The goal of the Affordable Care Act is to make sure every United States citizen has health insurance. The Affordable Care Act provides “affordable” health insurance plans to citizens that do not have any and make about $15,000 a year. While the idea of providing health insurance to the millions of American’s that cannot afford it is great, everything comes at a cost. According to Emily Miller, Obamacare is causing people’s health insurance premiums to rise by around 1 to 9 percent (Miller 15-15). Not only are insurance premiums rising, but ever since the Supreme Court declared the Affordable Care Act constitutional approximately 20 tax hikes have been approved (Battersby). All the aforementioned reasons are helping pay for Obamacare. Although providing health insurance for people that cannot afford it is important, the Affordable Care Act should be revoked because it will hurt the economy.
When president Obama signed the Affordable Care Act in March 2010, it came with a lot of new provisions that would vary when they would come into effect. The very first provision was the “Grandfather Clause” which allowed people to keep their insurance plan before the act went into effect. As long as the employer still offered that plan the employee could still maintain it because they were grandfathered into receiving that coverage. If someone bought an insurance plan after March 2010 they would not be considered under the Grandfather Clause. Thus, these individuals would be required to get a new plan by 2014 if their plan did not meet all the criteria, they would need to get a new plan that fills all the criteria. Another major provision of the Affordable Care Act is that patients have a guaranteed issue. This means that insurance companies are unable to deny anybody health insurance based on their health or prior health. This may create a problem because the risk pool of an insurance company may not have the best people. Eventually, this could lead to the majority of the risk pool for an insurance company to have people who are at a greater risk of needing health insurance. This will make the insurance company more vulnerable and the only way that they will be able to cover the losses is by raising the premiums on everyone even though there may be some individuals that are in perfect health. The next provision that was added under the Affordable Care Act is that the
Over the last five years, the United States has implemented a new policy in which Americans will receive their health care benefits. This policy is known as the Patient Protection and Affordable Health Care Act which was implemented in 2010 through United States federal statue and signed into law by President Barack Obama. The intentions of the reform is to insure that all Americans have affordable access to health care benefits without struggling to afford the cost associated. The reform is broken down into nine title sections that affect all aspects of health care and changes that will be associated. In this paper, I will be discussing each of the title sections and how the changes will affect the field of nursing.
One of the most controversial bill was made a law on March 23, 2010. President Obama signed the bill that passed the Affordable Care Act (ACA), more commonly referred to as Obama Care. “The ACA represents the most sweeping reform since the creation of Medicare and Medicaid in 1965”(Shi&Singh, p. 111). The opposition to implementation to ACA should not have come as a surprise and certainly was not implemented as smoothly as intended. It was passed via compromise, thus creating loop holes in a fragile new system in the infancy stage. Such a drastic, yet necessary, reformation in health care came at a time of financial insecurity in a nation that is only a few years out of a recession. Taking on the responsibility
Just like anything else that is first implemented out to people, there are also flaws. Not everything that first rolls out to the public is perfect. However, although this new health care may have some flaws in the beginning, some may say that there are a little more just minute flaws. Some may express that the new Affordable Care Act may be a reform that will hurt us rather than help us. “If there is any area of social policy in which Americans are likely to be aware that their system has flaws, it is in health care.” As if America it is not already the country that has the most expensive health care system , “Americans pay an average annual cost of $8,174 per person for their health care, over twice as high as the average Western
During the botched 2010 roll out of the affordable care act, multiple veteran’s agencies marched on Washington with fears of how the Tax/Mandate would affect indigent veterans who could not afford the penalty and could not afford secondary insurance. In their hubris, these agents pushed an agenda that has greatly hurt the veteran population.
Some states have accepted the terms of the program including all of its expansion on the health care system, but some have been reluctant to implement the program. One of those reluctant states has been Florida, which is apparent by multiple court cases that has come since its inception (1). With Florida’s House of Representative consisting of a majority of Republicans, the conservatives of the state have fought the incorporation of the bill (2). With legislative bodies in opposition of the terms of the Affordable Care Act, it begs to question how policy makers have approached the issue of healthcare. My research question was in what ways the Affordable Health Care Act has affected healthcare in Florida, and how effective has it been in
The Affordable Care Act passed in 2010 and signed by President Obama on March 23, 2010. The vision was to reform the health-care in America worked and dramatically decreases the number of uninsured individuals. President Barack Obama campaigned aggressively under the phrase’ “Yes We Can”. In the end “Yes he did” get the health-care reform legislation past and set into motion the overall of health insurance decades in the making. Many of the major objectives of the Affordable Care Act were setup to be implemented over time, most of which will be in place by 2016. Until then it is somewhat difficult to determine the true impact of the Affordable Care Act on individuals and their medical care and the financial impact of the costs. As,
With every new election comes new legislature the 2008 election had to deal with the hot new topic the Affordable Health Care Act (ACA). Then when Barack Obama was elected into office, he wanted it to be changed to Obamacare. Obamacare and the ACA is relatively the same thing. It is referred to as Obamacare because he is the one who signed for it to be passed. Due to the stress that Obamacare has put on the elderly, state businesses and small local business’s think that the United States should discontinue Obamacare during the next administration.
The goal of this policy brief is to support Alabama’s current decision to continue Medicaid Primary Care Parity, as first enacted by congress in 2010 to all states under section 1202 of the Affordable Care Act (ACA). However, as Alabama is facing budget cuts to its Medicaid services, supporting the “Ensuring Access to Primary Care for Women and Children Act” will extend federally funded Medicaid primary care parity without harming the state budget and negate the consequences of limiting Medicaid enrollee access and benefits. The federal government proposed to pay 100% of Medicaid services mandated under section 1202, from 2013 to 2014, which has since expired in December 2014. This program requires certain primary care services to be reimbursed at higher rates equivalent to those rates paid by Medicare for equivalent primary care services. Limited provider participation, limited Medicaid beneficiary access & decreased enrollment of physicians, physician assistants (PAs) and nurse practitioners (NPs) into primary care can be improved through this monetary incentive.
The Affordable Care Act was signed into law in 2010, just over five years ago. Since then the healthcare industry, and even organizations outside the industry, have been affected in many ways; from new reimbursement models, opening healthcare exchanges, millions of individuals gaining insurance that they previously did not have, and a plethora of new regulations just to name a few. Although the law was passed in 2010, it wasn’t until 2014 that millions of newly insured participants entered into the system when much of the affects were initially recognized. However, even with two enrollment periods under our belt, a new enrollment period set to begin in a month, along with additional regulations still to be fully recognized, how the
The implementation of the Affordable Care Act (ACA), popularly known as “Obamacare”, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financial and human costs.
Since the initiation of the Affordable Care Act in 2010, Americans have been put back in charge of their individual health care. Under this new law, a health insurance marketplace provides a haven for individuals without insurance to gain coverage. Just this year, citizens found out early whether they qualified for Medicare or the CHIP formally known as the Children’s Health Insurance Program. So much is to be learned about the Affordable Care act and this paper provides the roles of the different governmental branches, along with other important factors associated with this law.