The Paradox of the Affordable Care Act

4267 Words Oct 30th, 2014 18 Pages
The Paradox in the
Affordable Care Act

Submitted By:
Vodney Wynn vewynn@aol.com October 12, 2014
PA582_CourseProject

Table of Contents

Introduction…………………………………………………………………………………………………………………3
The History of Healthcare Reform……………………………………………………………………………..…4
The Problem with the ACA……………………………………………………………………………………………6
The Current Policy………………………………………………………………………………………………………..8
Policy Alternatives………………………………………………………………………………………………………10
Evaluation Criteria………………………………………………………………………………………………………10
Policy Recommendation……………………………………………………………………………………………..12
Conclusion…………………………………………………………………………………………………………………..13
References………………………………………………………………………………………………………………….14

Introduction
Recent health care reform
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17.1% of Americans who did not have coverage prior to the ACA will have access to quality affordable health insurance through their State's health insurance marketplace, or the expansion of Medicaid and the Children's Health Insurance Program (CHIP) (Sommers, Kenney, & Epstein, 2013). Furthermore, there is also a mandate for employers to advance access to work based coverage.
Through successful implementation millions of Americans would benefit from the imposition of health insurance through the ACA. The law intended to cover the poorest Americans under the Medicaid expansion option and to cover low and middle-income earners with new health insurance exchanges. However, in June 2012, the Supreme Court overruled a portion of this landmark victory by giving each state the option to forego the Medicaid expansion provision. The Court’s ruling creates a breach in the ACA’s potential to afford healthcare to the working poor and abandons those who do not quite qualify for market place subsidies. Consequently, a large segment of the United States population will remain uninsured due to the lack of affordability.
The following analysis will explore the current health insurance problem under the ACA. It will discuss the proposed policy of Medicaid Expansion and the impact of States not cooperating with the implementation of such provision. Moreover, a recommendation on strategies to alleviate the health

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