Among the developed countries, the United States health insurance is different. Because the health care costs are expensive, the health insurance reduce them to be reasonable and affordable amounts. The citizens contribute some amount towards the insurance scheme, which in turn helps in paying their medical expense. Notably, the government provides the framework for the private and public insurance companies to operate. An example of national health insurance is Medicaid, which caters for children, adults, and even people with disability. It was established in 1965 and also the largest financed health program (Courtemanche et al., 2018) . Medicaid covers many nursing homes and also prescription coverage in the country. Around 55 million individuals are under this insurance programs with 40% of its budget taking care of nursing homes (Tipirneni et al., 2018) . The laws allow the Medicaid insurance to be flexible to accommodate the low income earners. This ensures everyone regardless of economic status can enjoy this insurance plan.
However, this national health insurance has similarities and differences with the ACA. The Affordable Care Act is managed through the federal government while Medicaid is at the state level. This means the regulations are designed depending with a person’s location. Also, it is easier for an individual to get Medicaid compared to the Affordable Care Act (Frean, Gruber, & Sommers, 2017) . In a way, ACA is meant for everyone, which is not the case with the former. The process for person to be beneficial of Medicaid is strict and varies among the states. Besides, the enrolment period between the two is different. While a person can enroll in Medicaid at any given time, ACA is only done at specific dates (Andrews et al., 2018) . The similarities between the two is that they make health care affordable for the public.
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References
Andrews, C. M., Grogan, C. M., Smith, B. T., Abraham, A. J., Pollack, H. A., Humphreys, K., & Friedmann, P. D. (2018). Medicaid Benefits For Addiction Treatment Expanded After Implementation Of The Affordable Care Act. Health Affairs , 37 (8), 1216-1222.
Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2017). Early impacts of the Affordable Care Act on health insurance coverage in Medicaid expansion and non‐expansion states. Journal of Policy Analysis and Management , 36 (1), 178-210.
Frean, M., Gruber, J., & Sommers, B. D. (2017). Premium subsidies, the mandate, and Medicaid expansion: Coverage effects of the Affordable Care Act. Journal of Health Economics , 53 , 72-86.
Tipirneni, R., Rhodes, K. V., Hayward, R. A., Lichtenstein, R. L., Choi, H., Arntson, E. K., ... & Davis, M. M. (2018). Geographic Variation in Medicaid Acceptance Across Michigan Primary Care Practices in the Era of the Affordable Care Act. Medical Care Research and Review , 75 (5), 633-650.
