The current American Healthcare Act has proved to be very beneficial in its reach for new persons and individuals to sign up for medical insurance. Many people within the state have been able to access medical care. The act has allowed development of a medical healthcare structure which provides every individual with an opportunity to access care. However, new amendments made to the American Healthcare Act could have detrimental effects on the primary beneficiaries of the Act (Glied & Jackson, 2017). It has been argued that a slight change or amendment to the American Care Act (ACA) could undo its amendment in its entirety.
The ACA had expanded the eligibility criteria held for the American people. It made provisions for many of the American people to have proper access to medical care either through the use of tax credits to purchase insurance or through the extension of the eligibility criteria. The ACA had expanded coverage provisions on Medicaid programs. The expansion allowed for use of greater health services and with this increasing number generate more revenues for the healthcare sector. The ACA had managed to reduce the federal deficit. Where the ACA is repealed, these advantages would be eliminated.
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The American Health Care Act (AHCA) has suggested proposals to maintain the ACA coverage expansions that would only amount to counterbalance only 10% of the drop in the coverage where the Act is repealed (Glied & Jackson, 2017). The financial deficit is suggested to increase by 33.1 billion dollars annually as the ACA’s revenue-raising provisions would be eliminated (Eibner, 2017). The proposed provisions of the AHCA would increase the rate of bad debt in the healthcare industry as they eliminate the mandate of individuals which requires them to purchase insurance or to pay a fee. Additionally, the provisions suggest for the implementation of per-capita caps on state Medicaid funding and a block grant program. Medicaid expansion would be phased out by the year 2020 (Haefner, 2017).
More so, the nursing industry had observed an impact with the implementation of the ACA. They had become increasingly involved in the activities of the ACA. They were considered to the key drivers of the implementation of the ACA, however many nurses in practice stated the new act reduces the funding for more of the poor people, mothers and those in need and forwards those funds to fud tax cuts for the wealthiest Americans (Edmonds, Campbell, & Gilder, 2017). The provisions suggested in the AHCA would ultimately lead to a decrease in the successes recorded by the ACA.
References
Edmonds, J. K., Campbell, L. A., & Gilder, R. E. (2017). Public Health Nursing Practice in the Affordable Care Act Era: A National Survey. Public Health Nursing , 34 (1), 50–58. https://doi.org/10.1111/phn.12286
Eibner, C. (2017). The Future of U.S. Health Care. RAND Corporation . Retrieved from https://www.rand.org/health/key-topics/health-policy/in-depth.html
Glied, S., & Jackson, A. (2017). The Future of the Affordable Care Act and Insurance Coverage. American Journal of Public Health , 107 (4), 538–540. https://doi.org/10.2105/AJPH.2017.303665
Haefner, M. (2017). What Repeal of the ACAwould Mean for Hospital Finances: 11 thoughts . Becker’s Hospital CFO Report. Retrieved from https://www.beckershospitalreview.com/finance/what-repeal-of-the-aca-would-mean-for-hospital-finances-11-thoughts.html
