Politics and the Patient Protection and Affordable Care Act.
Healthcare is has been of concern and interest to individuals regardless of their political affiliation. Some individuals have perceived that some federal and state policies/ legislation can be supported or hindered by competing interests other than the anticipated benefits to the society.Politics and the Patient Protection and Affordable Care Act.
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When politicians’ interests on healthcare are in conflict with interests of majority of the electorate, it results in negative reviews and loss of political support. There have been efforts to repeal Affordable Care Act of 2010 (ACA) which has been regarded as a revolutionary policy. The ACA attempted to address issues of social justice and equality in the US healthcare. However, the policy received political undertones from its first initiation with lawmakers from Republican being antagonistic to the legislation. When Trump ascended to power, repeal and replacement of ACA became a priority. However, the government lacked support when the electorates realized that the repeal of ACA would hurt them (Cox et al., 2017). The Republican legislators realized if they continued to support the repeal, their chances of re-election would be minimal. This essay addresses the political viewpoint to the Patient Protection and Affordable Care Act.Politics and the Patient Protection and Affordable Care Act.
Repealing and Replacing the ACA
The first attempt to repeal the ACA was in 2017 with the passing of American Health Care Act (AHCA). The Trump administration was to use ACHA to repeal and replace ACA. However, it was realized that over 20 million people would lose health insurance coverage. The ACHA would increase healthcare costs since it had proposed a tax credit based on income(Ku et al., 2017). The ACHA had proposed a Patient and State Stability Fund to reduce premiums by 20% after 2026. This would increase the cost of healthcare for people already having pre-existing medical conditions (Nadash et al., 2018). ACHA was to give power to states to suspend various rules in ACA under definite circumstances which would make people living with chronic diseases to pay higher premiums for health insurance coverage. (Ku et al., 2017).Politics and the Patient Protection and Affordable Care Act.
How Re-election Prospects Affected Efforts to Repeal and Replace the ACA
A cost benefit analysis by legislators revealed that they risked not being re-elected dueto the negative effects that would emanate from repealing and replacing the ACA (Karaca-Mandic et al., 2017). The new policy would deprive many people access to affordable healthcare which had been addressed by ACA. The proposals in the ACHA had been opposed by some stakeholders such as the American Academy of Family Physicians since they would raise health uncertainties, increase costs, and deny patients access to health cover based on age, health condition, or economic status. The Congress Budget Office (CBO) found out some defects on AHCA while some politicians found it hard to get votes with AHCA as it was (Ku et al., 2017). To protect their interest of being re-elected, senators came up with a proposal to overhaul AHCA which was referred to as Better Care Reconciliation Ac.t of 2017
How Voters’ Views Affect the Policy Positions of Legislators
The House of Representatives and Senate legislators are in elective posts and have to campaign and appeal to the voters to be elected. The decisions made by legislators on policy and legislative issues such as ACA and AHCA are influenced by the thoughts of the electorate because their overriding interest is re-election.
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.
Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.Politics and the Patient Protection and Affordable Care Act.
To Prepare:
By Day 3 of Week 3
Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.Politics and the Patient Protection and Affordable Care Act.
By Day 6 of Week 3
Respond to at least two of your colleagues* on two different days by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.
*Note: Throughout this program, your fellow students are referred to as colleagues.
RUBRIC BELOW (just parameters so you can see what professor is looking for)
Main Posting | 45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.
Supported by at least three current, credible sources.
Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.
At least 75% of post has exceptional depth and breadth.
Supported by at least three credible sources.
Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
35 (35%) – 39 (39%)
Responds to some of the discussion question(s).
One or two criteria are not addressed or are superficially addressed.
Is somewhat lacking reflection and critical analysis and synthesis.
Somewhat represents knowledge gained from the course readings for the module.
Post is cited with two credible sources.
Written somewhat concisely; may contain more than two spelling or grammatical errors.
Contains some APA formatting errors. |
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately.
Lacks depth or superficially addresses criteria.
Lacks reflection and critical analysis and synthesis.
Does not represent knowledge gained from the course readings for the module.
Contains only one or no credible sources.
Not written clearly or concisely.
Contains more than two spelling or grammatical errors.
Does not adhere to current APA manual writing rules and style. |
||
Main Post: Timeliness | 10 (10%) – 10 (10%)
Posts main post by day 3. |
0 (0%) – 0 (0%) | 0 (0%) – 0 (0%) | 0 (0%) – 0 (0%)
Does not post by day 3. |
||
First Response | 17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Response is effectively written in standard, edited English. |
15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English. |
13 (13%) – 14 (14%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited. |
||
Second Response | 16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.
Demonstrates synthesis and understanding of learning objectives.
Response is effectively written in standard, edited English. |
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings.
Communication is professional and respectful to colleagues.
Responses to faculty questions are answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources.
Response is effectively written in standard, edited English. |
12 (12%) – 13 (13%)
Response is on topic and may have some depth.
Responses posted in the discussion may lack effective professional communication.
Responses to faculty questions are somewhat answered, if posed.
Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth.
Responses posted in the discussion lack effective professional communication.
Responses to faculty questions are missing.
No credible sources are cited. |
||
Participation | 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days. |
0 (0%) – 0 (0%) | 0 (0%) – 0 (0%) | 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days. |
||
Total Points: 100 | ||||||
Politics and the Patient Protection and Affordable Care Act.