Repealing Affordable Care Act (ACA)
AFFORDABLE CARE ACT 5
RepealingAffordable Care Act (ACA)
RepealingAffordable Care Act (ACA)
ACAis a health care reform that was signed into law during the Obamaadministration. The intention of ACA is to broaden medical cover tothe Americans by ensuring that vulnerable people such as the elderly,low-income earners and people with disabilities afford healthinsurance, in conjunction with all individuals having access toquality patient care. Many Americans, previously without an insurancepolicy have been accommodated by the ACA, an indication of a healthynation. Several conflicting tenets of the ACA trigger the move forits repeal because it counters the purpose of improving medical care.They include a fault in health care delivery that inflates prices ofmedication and insurance exchanges, giving individuals a leeway topay penalties when they fail to purchase a cover. Essentialcomponents that would hurt the citizens if ACA is scrapped off areinsurance to low-income individuals and preexisting conditions. Theyform the basis of this essay, and more discussion will focus on theproblems in the insurance market if ACA gets annulled.
KeyAreas of ACA for Retention
Medicaidis a medical program offered by the federal and state to facilitatethe availability of health services to people with minimal resources.The amendments presented seek to limit the Federal Medical AssistancePercentages (FMAP) to individuals that had initially embraced theexpanded Medicaid. Another proposal is to ban Medicaid funding fromthe Federal Reserve for parenthood medication that targets pregnantwomen from low-income families. Revoking the ACA provisions would bea radical approach in line with the extensive medical care thatelevates the lives of the poorer Americans(Lloyd, 2017).Implementing the new amendments would be a revelation of aninadequate health care system unable to meet the needs of itscitizens. It would see many low-income earners being locked out ofreceiving medical care services due to high costs. As a result,morbidity, mortality, and maternal deaths will be on the rise,questioning the effectiveness of the health care system.
Individualswith pre-existing conditions require consistent utilization ofmedical care to manage their health conditions. The insurance marketneglects them by putting restrictions that limit their incorporationto their medical covers because they present a high risk to thecompanies. Pre-existing conditions such as diabetes, cancer, or highblood pressure demand high costs and the regular visits to thephysician. They accompany medical prescriptions that inflate the costincurred by the companies regardless of the high premiums paid. ACAembraces the uninsured people with pre-existing illnesses, enablingthem to purchase health insurance without an extra cost. This issueraises concerns and inflicts fear of losing the guaranteed medicalcover for people with pre-existing conditions. Therefore, lawmakersshould rethink this aspect and retain it in the new health reforms.
Althoughthere is a chance that ACA might be vetoed, the government has anobligation to maintain the mandatory benefits such as providingpreventative care, mental health treatment, vaccinations andrehabilitation of substance addicts. People with other medical needswill resort to the commercial insurance, uncertain of whether theywill be offered health insurance. Problems of uneven incomedistribution of income and a rise in the proportion of uninsuredindividuals will occur.
UnevenDistribution of Incomes
Thedemand for uncovered benefits such as pre-existing conditions willincrease, leading to an alteration of premiums and taxes towardsinsurance(The Urban Institute, n.d).The burden of high premiums and taxes will have different impacts onpeople in formal employment and privately employed individuals.Permanently employed persons will gain because they can opt out ofcovers issued in the insurance market since they have an option tobenefit from medical benefits provided by the employer. On the otherhand, self-employed individuals will have to purchase insurancecovers at the prevailing high market price, leading to a disparitybetween the two groups, which consequently causes inequality inincome distribution.
Increasein Uninsured Individuals
Theshift in the demand for health insurance services will imply anincrease in the out-of-pocket expenditures on health care.Consequently, the insurance market will respond by raising thesupply, translating to an increase in market prices of insurancepolicies(Dewar, 2015).Many will opt out of purchasing a medical cover due tounaffordability, resulting in a significant proportion of peoplelacking access to health care services.
ACAis attributable to positive changes in health care. It has achievedavailability of less costly medical services and made therequirements for health insurance lenient, leading to an expansivecoverage. Since some loopholes exist in how health care deliverytakes place making it inefficient, it would be plausible to amend theshortcomings instead of revoking ACA. As such, lawmakers have to beextra vigilant in reforming ACA by weighing out the cost implications(benefits denied) by the new changes, vis-à-vis the resultantadvantages of the new system. It will assist in making informedhealth care decisions that will make the lives of the people better.
Dewar,D. M. (2015). Essentialsof Health Economics.Jones & Barlett Publishers.
Lloyd,J. (2017, March). Hopes and Fears bout a New Health Care Plan.ReceivablesReport for America`s Health Care Financial Managers, 32(3),pp. 9-10. Retrieved April 5, 2017, fromhttp://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=e8393688-f029-4b8c-b05e-8c43724718b7%40sessionmgr4006&vid=0&hid=4107
TheUrban Institute. (n.d.). ConflictingGoals and Policy Choices.The Urban Institute.
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