NURS 6050 Politics and the Patient Protection and Affordable Care Act
Politics and the Patient Protection and Affordable Care Act
There have been many concerns and controversies about the population health not just in America but all over the world. However, as with anything else, the world has its eye on how America will improve health care. In America, health care was financed by “public payers (Federal, State, and local government), as well as private insurance and individual payments” (Lew et al. 1992). Health care cost is an area of concern to many, and depending on the political party, there is a push for health care for all. However, consumers, patients, or individuals are not concerned about party relationships but rather how will government interest and decision affect and influence the lives of their families and themselves. Local, State, and Federal member members can institute policies that are beneficial to society rather than focusing on their political status(re-election), which requires political support NURS 6050 Politics and the Patient Protection and Affordable Care Act. Nevertheless, legislators must consider and make cost-benefit policies with the community in mind (Feldstein, 2006).
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There are three significant parts to health care, which are quality and safety, access, and cost of care (Milstead and Short, 2019). As a result, in 2010 Affordable Care Act (ACA) became law giving, focusing on giving access to healthcare to everyone while curbing health costs and improving care (ACA, 2019). Affordable Care Act(ACA) provides coverage to anyone with pre-existing conditions, children up to age 26 on their parent policy, care for the mental health, addiction, and preventive care for chronic disease. Even though the Affordable Care Act (ACA) is not perfect, it does have and consider the benefit of society. According to RAND (2019, approximately 20 million people newly insured, and 24 million have achieved free or financed care through marketplace tax credits and Medicaid expansion.
In contrast, the current administration’s focus is to repeal the ACA which would affect the health benefit of the majority of society is political. Just like Obama Care changes to changes to the Affordable Care Act(ACA) can be useful and bad. Trump signed an executive order in 2017, affecting parts of Obamacare. The bill insurance writers the ability to increase the premium by thirty percent if continuous coverage is lost, ending the state’s option to expand Medicaid, ending personal and employers mandates(taxes) NURS 6050 Politics and the Patient Protection and Affordable Care Act.
As O’Rourke, 2017 states “ right to health care means that the government is morally obligated and responsible to do all within its means to ensure that medically necessary care, regardless of ability to pay, whether provided in the private or public sectors, is available and accessible to all” pg. 140.
References
Affordable Care Act (ACA), (2019). History and Timeline of the Affordable Care Act (ACA). Retrieved https://www.ehealthinsurance.com/resources/affordable-care-act/history-timeline-affordable-care-act-aca
De Lew, N., Greenberg, G., & Kinchen, K. (1992). A layman’s guide to the U.S. health care system. Health care financing review, 14(1), 151–169. NURS 6050 Politics and the Patient Protection and Affordable Care Act
Feldstein, P. (2006). The politics of health legislation: An economic perspective (3rd ed.). Chicago, IL: Health Administration Press.
O’Rourke, T.W. (2017) Lost in the Health Care Reform Discussion: Health Care as a Right or Privilege, American Journal of Health Education, 48:3, 138-141, DOI:10.1080/19325037.2017.1292879
Rand healthcare, (2019). The Future of U.S. Health Care: Replace or Revise the Affordable Care Act? Healthcare Reform; Retrieved from https://www.rand.org/health-care/key-topics/health-policy/in-depth.html
Politics and the Patient Protection and Affordable Care Act
Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society. NURS 6050 Politics and the Patient Protection and Affordable Care Act.
The suppliers of legislative benefits are legislators, and their primary goal is to be re-elected. Thus, legislators need to maximize their chances for re-election, which requires political support. Legislators are assumed to be rational and to make cost-benefit calculations when faced with demands for legislation. However, the legislator’s cost-benefit calculations are not the cost-benefits to society of enacting particular legislation. Instead, the benefits are the additional political support the legislator would receive from supporting legislation and the lost political support they would incur as a result of their action. When the benefit to legislators (positive political support) exceeds their costs (negative political support) they will support legislation. (page 27)
Source: Feldstein, P. (2006). The politics of health legislation: An economic perspective (3rd ed.). Chicago, IL: Health Administration Press.
To Prepare:
Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
Consider who benefits the most when policy is developed and in the context of policy implementation.
Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. Then, explain how analyses such as the one portrayed by the Feldstein statement may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). NURS 6050 Politics and the Patient Protection and Affordable Care Act