Question 1
Repealing of the Affordable Care Act will have tremendous effects in the United States. It will lead to coverage losses of between 18 to 30 million Americans ( Hausman, n.d.) . The problem will affect the operations of healthcare facilities due to the reduction in revenue. ACA programs such as Medicaid have been contributing more than $140 billion yearly to different healthcare providers. The initiative will also contribute negatively to the economy ( Hausman, n.d.) . It will cause problems such as a reduction in employment. In case ACA repealing succeeds, about 3 million jobs will be lost in fields such as healthcare, finance, construction, real estate, and supply providers.
Question 2
The repealing of the ACA will result in losses in healthcare in my state. It will cause many individuals to lose their health insurance, a problem that can have negative impacts on their health. People with pre-existing conditions like cancer who have benefited from the Medicaid and Medicare programs might experience challenges in accessing health care ( Hausman, n.d.) . The repealing of the ACA can also lead to financial constraints on healthcare facilities in my state due to a lack of sufficient funding from the federal government.
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Question 3
If the ACA is repealed, the Medicaid coverage program funded by the states and the federal government will collapse. Medicaid covers approximately 12 million low-income adults and 3 million children ( Long et al., 2017) . The changes in the law can lead to the loss of insurance policy by the people described above. Repealing of ACA will also hinder Medicaid expansion, which has previously contributed to preventive screening, mental health services, and access to medication by the poor.
Question 4
Repealing of ACA will lead to the reduction of Medicare payments through Medicare Disproportionate Share Hospital. The problem will force the beneficiaries to pay more for preventive care programs, such as wellness visits, which have been free ( Hausman, n.d.) . Reducing federal government funding to the hospitals and other private Medicare Advantage Plans will affect care for different beneficiaries.
Question 5
Repealing will also contribute to a large number of uninsured people. If the changes, such as elimination of Medicaid expansion, are upheld by the court, the number of uninsured people will increase by 20 million ( Long et al., 2017) . The repeal will also contribute to an increase in health disparities. The majority of the uninsured Hispanic and Black Americans is high compared to the Whites due to the existing economic gap and barriers to accessing coverage. By upholding the appeal, the coverage and access to care among the underprivileged races that are uninsured will increase.
Question 6
If ACA appeal succeeds, protected people with pre-existing conditions will be forced to pay higher insurance premiums. A standard premium rate has been established in the U.S., depending on the health applicant’s condition ( Hausman, n.d.) . Apart from that, the insurers may render people with pre-existing conditions such as obesity and diabetes uninsurable. Many health insurance providers could consider the initiative due to ACA rules that require insurers to insure an individual depending on their health conditions. Due to the probability of high insurance premiums, people with pre-existing conditions might not seek medical care. The problem will further contribute to health deterioration.
Question 7
The government should reverse the current appeal on ACA. According to Long et al. (2017), the ACA contributed to massive gains in healthcare. It led to improved financial security, reduced medical debt, and improved access to credit and health outcomes. Through Medicaid expansion and coverage, many Americans could access care services. If the appeal succeeds and the current government fails to reverse it, the marketplace should consider providing cheap premiums. The repealing of ACA will affect many people from low-income economic status, and thus, low premiums will be the only way they can insure their health.
References
Hausman, S. (n.d.). The financial consequences of ACA repeal . Commonwealth Fund. https://www.commonwealthfund.org/publications/podcast/2017/feb/financial-consequences-aca-repeal
Long, S. K., Bart, L., Karpman, M., Shartzer, A., & Zuckerman, S. (2017). Sustained gains in coverage, access, and affordability under the ACA: a 2017 update. Health Affairs , 36 (9), 1656-1662. https://doi.org/10.1377/hlthaff.2017.0798
