President Obama will be remembered for the changes he made in the sector of the U.S health care and nursing. One of the major changes he made was signing of the patient Protection and Affordable Care Act (ACA) into law on March 23, 2010 (“Listo Tax Solution”, 2013). The signing brought about a profound change in health sector, ever since the 1965 passage of Medicare and Medicaid. The law brought about three key provisions of the Patient Protection and Affordable Care Act as discussed in this article.
First, the ACA introduced reforms that provide a system of employer ‐ sponsored insurance (ESI) and create new requirements for individuals, employers, health care providers, and insurance companies (“Listo Tax Solutions”, 2013). The main aim of this reform is to facilitate access to health care costs, health insurance and deliverance of care (“Listo Tax Solutions”, 2013). The second provision was multiple strategies that targeted various groups and increased overall insurance coverage. This makes it possible for young adults to remain in their respective parents’ insurance plans up to the age of 26; as provided by the dependent coverage policy. Under this provision, employers are required to offer affordable and comprehensive health insurance to full time employees. In addition, the ACA expands Medical eligibility to nonelderly (citizens under age of 65) for the purpose of assisting the low-income people. The third provision is enactment of new regulations on insurance companies and their policies (“Listo Tax Solutions”, 2013). For instance, the insurance companies are now prohibited from charging higher premiums or deny coverage by the virtue of preexisting conditions.
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One provision that I feel could make a significant impact on the U.S population is the creation of multiple strategies that targeted various groups and increased overall insurance coverage. This is essential because it caters for medical needs of nearly all dependant groups, that is, young adults under the age of 26 and nonelderly who are less than 65 years of age. The other group, between 26 and 65 years are relatively financially stable and can cater for their medication.
Rachel
I like the way Rachel presents her opinion that, “Guaranteed Issue” made a significant impact in the US population. To Rachel, being denied by the insurer due to a pre-existing condition could be highly devastating to a patient and may result to 400% mark-up or even more to its actual cost. I concur to Rachel on the issue of insurance, but I tend to differ with her in that, not all citizens are unable to cater for their insurance costs. To me, the issue of “increased overall insurance coverage” is most impactful, because it caters for medical needs of the dependant groups without cost.
Elizabeth
Elizabeth too has a touching story concerning her opinion on the provision that brought most significant impact on the US population. She presents the issue of “provision of insurance to those who previously did not have”, in a convincing manner that, it is helpful to those with chronic conditions and need regular medications. However, I beg to differ with her in that, there are few cases of chronic patients in US, and provision of insurance to them may not have any significant impact to the US population, as compared to offering medical cover to adults below 26 years and nonelderly below 65 years who make the largest US population.
References
Listo Tax Solutions. (2013). Affordable Care Act...Simplified . Available on https://www.youtube.com/watch?v=AG36BqB4Dec