The Patient Protective And Affordable Care Act Essay Discussion

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 The Patient Protective And Affordable Care Act Essay Discussion.

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Introduction

The Patient Protective and Affordable Care Act was a policy that significantly revolutionized the healthcare system in the United States. The policy was aimed to enhance healthcare equity among all Americans regardless of race, ethnicity and socioeconomic status (Gaffney & McCormick, 2017). However, after the election of President Trump, the policy faced opposition, and there were efforts to repeal and replace the Act. Legislators’ position in the office on the Act influenced whether they were to be re-elected. This paper discusses how a cost-benefit analysis for reelection affected the replacement and repeal of the policy.

Cost-benefit analysis

The cost-benefit analysis by legislators in offices who wanted to be re-elected aimed to identify aspects, including policies that helped Americans. Those legislators supporting repealing and replacing the Act have slimmer chances of being re-elected to office as the amendment had negative aspects that affected American citizens. According to Thompson et al., 2018), the repeal/replacement would limit access to healthcare services, a major issue the ACA solved. In addition, repealing and replacing the ACA would increase healthcare costs and limit access to health coverage for minority groups and people of low socioeconomic status. To favor their reelection, most legislators leveraged on supporting the repeal and replace. The Patient Protective And Affordable Care Act Essay Discussion

How analyses of the voter’s views may influence decisions on policies

The re-election of legislators in the house of Representatives and Senate greatly depends on the voters. Therefore, legislators must consider and support policies in the voter’s interest (Shor, 2018)The Patient Protective And Affordable Care Act Essay Discussion. Therefore, legislators support policies that benefit the voter as influenced by the voter. In this case, most legislators, including those from the Republican party, failed to support the repeal/replacement of the ACA.

References

Gaffney, A., & McCormick, D. (2017). The Affordable Care Act: Implications for health-care equity. The Lancet, 389(10077), 1442–1452. https://doi.org/10.1016/s0140-6736(17)30786-9

Shor, B. (2018). Ideology, party, and opinion: Explaining individual legislator ACA implementation votes in the States. State Politics & Policy Quarterly, 18(4), 371–394. https://doi.org/10.1177/1532440018786734

Thompson, F. J., Gusmano, M. K., & Shinohara, S. (2018). Trump and the affordable care act: Congressional repeal efforts, Executive Federalism, and program durability. Publius: The Journal of Federalism, 48(3), 396–424. https://doi.org/10.1093/publius/pjy007 The Patient Protective And Affordable Care Act Essay Discussion

NURS 6050 MODULE 2 DISCUSSION POST – REQUIRED READING

• Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide(6th ed.). Jones & Bartlett Learning.
  • Chapter 3, “Government Response: Legislation” (pp. 37–56)
  • Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only)
• govLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/
• Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350Links to an external site..
• United States House of Representatives Links to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/
• United States SenateLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/
• United States Senate. (n.d.). Senate organization chart for the 117th CongressLinks to an external site..  https://www.senate.gov/reference/org_chart.htm
• Document: Legislation Grid Template (Word document)

                         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 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.