What Is The Iron Triangle?

Why are access, quality and cost called the “iron triangle” of health care? Are there any ways of breaking this triangle?

The purpose of this dissertation isto assess the impact of the Affordable Care Act (ACA) on the Human Immunodeficiency Virus (HIV) care continuum. This dissertationwill focuson addressing the gap in current research by improving understanding of the impacts of the ACA on care for individuals living with HIV. It is estimated that over 1 million Americans live with HIV (Kates, 2012). Though the number of HIV infections has stabilized at around 50,000 annually, there are reports of new strains of HIV arising among homosexuals (Kates, 2012). People Living with HIV/AIDS (PLWHA) are less likely to be insured due to low socio-economic status (SES), therefore, rely on Medicaid for insurance coverage. Statistics indicate that only 25% of PLWHA are virally

From 2005 to 2014, the number of new HIV diagnoses among African American gay and bisexual men increased 22%. But that number stabilized in recent years, increasing less than 1% since 2010.6

President Barack Obama put the Affordable Care Act (ACA) in place in 2010 and it has been utilized since. Obama says, “the Affordable Care Act has made significant progress toward solving long-standing challenges facing the U.S. health care system related to access, affordability and quality of care” (2016). Therefore, the Affordable Care Act of 2010 has been a working progress towards upholding the iron triangle of healthcare, which is cost, quality, and access.

The Affordable Care Act is the new health reform law that was signed into action on March 23, 2010. The Affordable Care Act attempts to reform the healthcare system by providing Americans with affordable health insurance. It helps put individuals, businesses, and families in control of their own healthcare. By the sound of it, it really looks like this is something that will positively impact the lives of Americans, and make it easier for individuals to obtain health insurance. Unfortunately, what many Americans are unaware of is that there are so many underlying issues that make the Affordable Care Act not so affordable. Issues such as penalties and taxes that certainly rack up the cost on individuals, businesses and even hospitals that make it difficult for people and businesses to be in “control” of their health care.

“Obamacare”, also official known as the Patient Protection and Affordable Care Act or the Affordable Care Act for short was first approved on March 23, 2010. The Obamacare Act would guarantee to help Americans be able to get ahold of a fair, low-cost quality health insurance and reduce American’s spending on their health issues. Even with such a great plan, there were many flaws and hesitance that went towards enforcing this new health care plan. However, Obamacare has tremendously enhanced opportunities in order to receive healthcare for a vast number of Americans, despite its complications.

The issue regarding the lack of healthcare in America is prominent but is a more significant issue than what is commonly known. For instance, it is not publicly recognized that those who are mentally ill are covered by the same healthcare as those with conventional ailments. Because of this, money becomes an issue; health insurers cannot cover every case, or cannot fully cover any case. The Affordable Care Act (ACA) and Patient Protection Act, both part of “Obamacare,” were passed in order to fix this very issue; these acts are ultimately attempts to reach parity. However, the chance to have healthcare that fulfills parity, equality of coverage, has passed, the ACA is too late and it is time to come up with new solutions. To settle for

Health care in the United States is driven by a patchwork of services and financing. Americans access health care services in a variety of ways — from private physicians’ offices, to public hospitals, to safety-net providers. This diverse network of health care providers is supported by an equally diverse set of funding streams. The United States spends almost twice as much on health care as any other country, topping $2 trillion each year. (WHO.INT 2000) However, even with overall spending amounting to more than $7,400 per person, millions of individuals cannot access the health care services they need.(Foundation 2009) So when the Patient Protection and Affordable Care Act (a.k.a the Affordable Care Act or ACA) was passed in the summer

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 (ACA) is arguably the most important legislation to have ever been introduced for the masses since the implementation of Medicare and Medicaid act of 1965. It was specially designed to address the issues of accessibility, affordability and ensure best quality services in the health care sector (Barack Obama, . The primary problem in the shaping of this comprehensive health care reform was

This article stated that in 2014 an estimated 44,073 people were diagnosed with HIV. The previous DrugFacts article said that the 2010 estimate was 47,000 people. This shows that there are fewer diagnoses in 2014, but comparing two years doesn’t prove much. Shortly after the 2014 statistic, the article stated “The number of new HIV diagnoses fell 19% from 2005 to 2014” and this answered my question of what were the current HIV trends. This statement is reinforced by the fact that HIV testing has been on the rise in recent years. Diagnoses among homosexuals, heterosexuals, and inject drug users are on the decline, but some subgroups are not see this decrease in diagnoses. Hispanic/Latino gay and bisexual men have had an increase in diagnoses by 24% between 2005 and 2014. African American gay and bisexual men have also had an increase in diagnoses between 2005 and 2014 although it has been plateauing in the last 5

According to recent statistics from the Centers for Disease Control, approximately 1.2 million individuals in the United States have HIV (about 14 percent of which are unaware of their infection and another 1.1 million have progressed to AIDS. Over the past decade, the number of HIV cases in the US has increased, however, the annual number of cases remains stable at about 50, 000 new cases per year. Within these estimates, certain groups tend to carry the burden of these disease, particularly the gay, bisexual, and men who have sex with men (MSM) and among race/ethnic groups, Blacks/African American males remain disproportionately affected. (CDC)

The cost of healthcare and healthcare spending is a key component of any developed economy in that with good facilities there is a good source of human resource. Considerate health spending leads to the development of medical technologies and drugs hence satisfying fundamental social and individual demands for services that brings greater productivity, improved health, and longer lives. As compared to other sectors of the economy in the USA, health care is publicly funded. According to Organization of Economic Cooperation and Development (OECD) public spending in the United States of America accounted for almost half of total spending in the year 2011 as compared to 60-80 percent in other developed countries. The American society is currently grappling with exorbitant health care charges that have plagued the public; the high cost of health care services has been an issue that the ruling class has been grappling with. It has taken both political and social dimensions especially with the agitation of the Obamacare health plan when Senator Obama came into power. The focus of this discourse, though, is not to get into the political and social vagaries of the healthcare system, but rather to focus on the salient issues related to affordable care act (ACA) the American republic.

Health care has been a controversial topic that has had America divided for many years. Presidents in the past have tried to address this issue through policies, but haven’t been successful. On March 23, 2010, President Obama signed the Affordable Care Act (ACA) into law which was focused on providing health care for every citizen to achieve health equity.1 An individual’s health is solely that individual’s responsibility and whether or not they decide to get Health Care, it should not be considered as a basic human right since not only will it fail due to American values, but it will also be another way of making citizens become more dependent on governmental resources.

In this paper will discuss the health care policy debate by explaining the current health policy debate regarding the Affordable Care Act. This paper will showcase the values, markets, and morals as well as the fairness and availability of care. It will look at who wins and who loses and discuss equity, efficiency, and effectiveness. Lastly, this paper will show my own experiences and opinions of the healthcare debate and where I stand on the subject. The Affordable Care Act (ACA) was enacted in March 2010 the purpose of the act is to help uninsured individuals attain healthcare coverage at a reasonable price. “ Critics of the ACA have resurrected doubts about its cost-containment measures and overall fiscal impact.” (Orszag & Emanuel 2010)