Discussion: Two posts need reply with references

Lovely Brown <[email protected]>

Respond to the post with two references

Blessing Okafor <[email protected]> Wed, Sep 14, 5:56 PM To: Lovely Brown <[email protected]>

Discussion Politics and the Patient Protection and Affordable Care Act

In 2010, on March 23, the Patient Protection and Affordable Care Act1 (currently Affordable Care Act) was signed into law with amendments from the Health and Education Reconciliation Act2. On January 1, 2014, the individual and employer accountability provisions, the operation of state health insurance Exchanges, the expansion of Medicaid, and the distribution of subsidies to individuals and small businesses will all go into effect. The Affordable Care Act gives a once-in-a-generation chance not only to reform coverage and care but also to reconsider the fundamental purpose of public health in a country where everyone has access to health insurance.

How Cost-Benefit Analysis Influence the Efforts to Repeal or Replace the Affordable Care Act

Nurses and patients are the people who are most likely to be impacted when a policy relating to health care is formulated and put into action. However, according to Milstead & Short (2019), the people who set policies concentrate on how the changes will affect their re-election rather than necessarily how the changes will affect the people. For example, when President Donald Trump first took office, the Republicans initiated the process of repealing and replacing Obamacare, also known as the Affordable Care Act (ACA), as well as Medicaid or Medicare. This occurred shortly after President Trump was inaugurated.

In 2017, when Trump care was being debated and voted on in the house of representatives, the government of President Donald Trump and Republican politicians used the American Health Care Act (AHCA), often known as Trump care, to repeal and replace the Affordable Care Act, generally known as Obamacare. Despite this, it didn't take long for it to become abundantly clear that the American Health Care Act (AHCA) would result in an increase of 23 million people who lacked health insurance (Béland et al., 2019). In addition, the purchase of insurance under the terms of the American Health Care Act (AHCA) would have a negative impact on 130 million people in the United States who have preexisting health conditions, causing them to pay higher premiums and receive fewer benefits. Paying high premium rates for medical coverage would have a significant impact on people who are already struggling financially due to their chronic diseases. It is possible that the law that would replace Obamacare with other coverage provisions would be costly. As a result, the people who construct the insurance would need to keep the majority of the offsets that are currently provided by Obamacare.

Nadash et al. (2018) note that in the absence of income, the American Health Care Act (AHCA) proposes a tax credit of $2,000 for those under the age of 30 and $3,000 for those 60 and beyond. Many people in the United States would see their health care expenditures rise under the proposed age-based tax credit system. Legislators and Republican party leaders were warned by a cost-benefit study that they would lose their seats if they voted to repeal and replace the Affordable Care Act. It was already established that

the policy change, the American Health Treatment Act (AHCA), would make it more difficult for many people in the United States to obtain low-cost medical care. This issue was the focus of President Obama's Affordable Care Act.

The American Academy of Family Physicians opposed the American Health Care Act (AHCA) because it would increase health care costs and refuse to cover patients on the basis of preexisting conditions, age, or socioeconomic position. They were against it because the ideas in the American Health Care Act (AHCA) increased health care insecurity among Americans.

How Analyses of the Voters' Perceptions May Influence Decisions by Legislative Leaders in Recommending or Positioning National Policies

The legislative leaders are interested in keeping their positions. Legislative leaders, then, need to keep an eye on the political atmosphere and how their votes on certain issues affect their chances of remaining in office (Brodie et al., 2020). This means they need to think about the needs of the country as well as the desires of the party. Legislative leaders are chosen by the people at large and must run for office. As a result, voters' opinions matter in determining the outcomes of contentious policy debates like the Affordable Care Act (ACA) and the American Health Care Act (AHCA). The Affordable Care Act (ACA) repeal, for instance, was passed without a single Republican's signature; it is now being challenged.

In conclusion, legislative leaders' actions are heavily influenced by the views of the electorate. As a result, legislators should make judgments based on well-thought-out protocols and keep an eye on how their choices can influence future votes.

References

Béland, D., Rocco, P., & Waddan, A. (2019). Policy feedback and the politics of the Affordable Care Act. Policy Studies Journal, 47(2), 395-422.

Brodie, M., Hamel, E. C., Kirzinger, A., & Altman, D. E. (2020). The Past, Present, And Possible Future Of Public Opinion On The ACA: A review of 102 nationally representative public opinion polls about the Affordable Care Act, 2010 through 2019. Health Affairs, 39(3), 462-470.

Nadash, P., Miller, E. A., Jones, D. K., Gusmano, M. K., & Rosenbaum, S. (2018). A series of unfortunate events: Implications of Republican efforts to repeal and replace the Affordable Care Act For older adults. Journal of aging & social policy, 30(3-4), 259-281.

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

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