The Patient Protection And Affordable Care Act

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Comprehensive Health Reform:
The Patient Protection and Affordable Care act
Ken Davis
February 13, 2016
PADM 550 –BO2- LUO
Dr. Tory Weaver

Defining the Problem The Patient Protection and Affordable Care Act of 2010 (PPACA)is a highly complex and multifaceted policy in addition to being political controversial. Changes made to the law by subsequent legislation, focuses on provisions to expand coverage, control health care costs, and improve health care delivery system. Some changes require most U.S. citizens and legal residents to have health insurance. The problem with this that not all states accept PPACA and not all can afford health insurance, therefore, either get an exemption or pay a fee.
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This means in the long run that all uninsured Americans will still have the option to buy health insurance through the state or federal exchanges.
Political Feasibility. Keep in mind that upcoming elections will have a major impact on the success of reforming health care and health insurance in the United States. U.S. Supreme Court, No. 14-144, King Vs. Burwell (2015), challenged the IRS regulation imposed on the PPACA, because it allowed subsidies on both state and federally-established health insurance exchange (Competitive Enterprise Institute, (2015). Had there would have been a different decision in this case, millions could have lost health coverage and it could have sent us down a road to losing our “new benefits, rights, and protection, including guaranteed issue for those with preexisting conditions” (Obamacare Facts, 2015).
Financial feasibility. Subsidies cost on average $3,5000 per enrollee with subsidies, while Medicaid and CHIP subsidies cost $4,500 on average (Obamacare Facts, 2015). As a result, uninsured rates dropped more in states that embraced the law. According to Gallup the uninsured rate was 11.9% for the 18 – 65 demographic in the 1st quarter of 2015, down from a high of 18% in 2013. By the second quarter of 2015 the uninsured rate fell to 11.4% (Obamacare Facts, 2015). Those are 2015 estimates and the costs rise over time with the
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