The Affordable Care Act, endorsed in the year 2010, has vividly transformed the United States' healthcare industry. It has brought tremendous changes, including fostering the availability of affordable healthcare services. Numerically, the act has helped more than 20 million people become assured. More than 24 million people have also gained access to free healthcare services ( McClellan & Japinga, 2018 ). However, the act has gained colossal momentum across the United States and brought forth strong political headwinds. Strong forces have emerged advocating for repeal or replacement of the law, despite the withstanding success of the ACA act, reforms, and modifications that would see the law address other specified goals. According to Rand Corporation and the American Healthcare Act (AHCA), the reforms and repeals that were to be made included; the ACA would be repealed without any replacement; the second proposed change would replace the ACA act using a single-player approach; lastly, the third proposed change would overhaul all market regulations supported by the ACA act ( Oberlander, 2017 ).
The repealing or replacement of the act would bring about numerous changes to the healthcare system. Although the ACA act replaced all the subsidies that come with the ACA act, the reform/replacement would also champion Medicaid expansion to per capita grant programs, thus bringing more benefits to the healthcare system. Besides, this change would bring forth a shift in costs to the various states over a particular time and reduce eligibility and provider reimbursement. The repeal or replacement would bring about a reduction of costs and, on the other hand, expand coverage of the care services. The further proposal appeals, including the version of AHCA done by the House of Representatives, allowed the various states to institute or redesign the ACA act ( Hoornbeek & Lanese et al., 2018 ).
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References
McClellan, M., & Japinga, M. (2018). The Affordable Care Act: What's Next? Annual review of medicine , 69 , 41-52.
Hoornbeek, J., Lanese, B., Albugmi, M., & Filla, J. (2018). Healthcare Reform Repeal Efforts in the United States in 2017: An Inquiry into Public Advocacy Efforts by Key Interest Groups. Politics and Governance , 6 (3), 190-204.
Oberlander, J. (2017). Repeal, replace, repair, retreat—Republicans’ health care quagmire. N Engl J Med , 377 (11), 1001-1003.
