Week 5

Role of Executive Order in ACA

By: Ameki Lee

Dr. White

MPA6501 SU01 State and Local Government and Intergovernmental Relations

Role of Executive Order in ACA

Affordable Act Care has been a significant issue in Texas State for the past seven years. Texas governor, Greg Abbott has been on the frontline in fighting the implementation of the Act in Texas and America. The governor's office claims that the penalties related to avoiding the Act are unconstitutional and not democratic (Toussaint, 2017). Furthermore, the Governor argues that the Affordable Care Act should be put on halt while the cause is being liquidated. However, the governor does not concentrate on improving the policy rather than doing away with it. Greg Abbott believes the pre-existing conditions are the major barriers for the effectiveness of the act. The Affordable Care Act allows people to purchase the policy even with pre-existing conditions. In favor of the governor, the act should limit the purchase of the act during such conditions with the aim of reducing the cost as well as the rates of insurance. Therefore, an appeal can be made based on the governors value since most Americans are complaining about the same issue (Toussaint, 2017).

Affordable Act Care was implemented under the executive administrative policy. In America, an executive order is directed by the president on the managers of various federal governments with the aim of forcing policy to law. In 2013, former president of America Barack Hussein Obama issued a directive on the implementation of the Affordable Care Act (Rovner, 2018). The current President, Donald Trump began fighting the Act by attacking the executive committee and even dismantling it. An executive order is written, signed and published by the president's office and directed to various federal departments. The Executive order directed all agencies responsible under the Affordable Care Act provision that will provide a regulatory and fiscal burden on entities that will be reluctant on adopting a policy. Also, the Executive Order directs the same agencies to offer greater flexibilities and collaboration on implementing such healthcare policies.

Since the implementation of the Affordable Care Act in 2010, the policy has suffered various criticisms in its debate. For those who believed that the primary goal of the Act was to make insurance more affordable didn’t achieve their purpose. However, the policy has caused more Americans to have access to medical insurance hence fostering a healthy nation. Since the Act is applicable in improving the public health of all Americans, it includes various resources in healthcare like materials, funds, personnel and other things that can be utilized in the provision of healthcare service. The act is also responsible for ensuring all medical care institutions have the necessary resource for effective operations (Barbaresco, Courtemanche & Qi, 2015).

Various changes would have been made on the Affordable Care Act with the aim of improving it. Parts of the Act requirement must be redesigned with the purpose of enhancing patient experience while minimizing medical errors. The most attacked provision of the policy is its position in the insurance exchange. The fundamental of democratic medical law is that people would opt in or out without strict provision. However, the ACA allows young people to choose out of the policy requirement by incurring fines that are extremely low compared to purchasing the act. The main change on the Act would be reviewing its penalties and making it optional for all Americans. The focus of any Health Insurance Policy should be on improving the quality of health care for all Americans on an affordable cost (Barbaresco et al., 2015). The main role of the interest group is to influence policy reformation. Interest groups accomplish this by lobbying the policy. Before lobbying, interest group ensures that the policy is to the best of interest to the public. The presence of an interest group helped to shape the ACA policy by ensuring it would be affordable to every American.

References

Toussaint, J. S. (2017, April 05). Improve the Affordable Care Act, Don't Repeal It. Retrieved from https://hbr.org/2016/11/improve-the-affordable-care-act-dont-repeal-it

Rovner, J. (2018). This lawsuit is the latest threat to the Affordable Care Act. Retrieved from https://www.nbcnews.com/health/health-news/texas-lawsuit-threatens-affordable-care-act-n906376

Barbaresco, S., Courtemanche, C. J., & Qi, Y. (2015). Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults. Journal of health economics, 40, 54-68.