Legislators’ decision-making process is controlled by a myriad of factors, one of which is the obligation to represent the wishes of the voter population at the political realm and the effort to remain popular for reelection purposes. As a result, politicians often champion the interests of the people without invoking their view or questioning whether such a move would be beneficial. It is common knowledge that the majority is not always right; therefore, politicians’ pursuit of reelection may compel them to support policy amendments that would appeal to the masses. Such a phenomenon has been evidenced in the decision about whether to repeal or retain the affordable care act. Given the fact that the move to repeal the Affordable Care Act is unpopular, politicians have demonstrated hesitance in repealing it because it would jeopardize their reelection bid (Rovner, 2018). Even though repealing/replacing the act would promote the realization of numerous benefits both by the American healthcare system and the American people (Willison & Singer, 2017), the commitment of political leaders to preserve their political prominence has derailed efforts to amend the act. In such a scenario, leaders become so committed to protecting their political interests to the extent that they abandon exploring options that are beneficial to the populace.
Analyzing the voters’ position on issues affects decisions by legislators to recommend an amendment or formulate policies. According to Nuzum, Collins, and Abram (2017), the debates about replacing or repealing the ACA, to the public, is far from political correctness or voter counting, but it boils down to whether they would be able to afford healthcare and prescriptions. Furthermore, medical practitioner are concern with whether they will be able to serve the public effectively without being overwhelmed by uncovered medical costs. Therefore, by considering the fact that about 29 million Americans would lose health insurance if the ACA is repealed and by analyzing the views of the public, legislators may desist from endorsing the idea of replacing or repealing the ACA, since this would affect their reelection bids.
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References
Nuzum, R., Collins, S, R., & Abram, M. K. (2017). How woule repeal and replace of the Affordable Care Act affect your state? The Commonwealth Fund . Retrieved from https://www.commonwealthfund.org/blog/2017/how-would-repeal-and-replace-affordable-care-act-affect-your-state .
Willison, C. E., & Singer, P. M. (2017). Repealing the Affordable Care Act Essential Health Benefits: Threats and Obstacles. American journal of public health , 107 (8), 1225–1226. https://doi.org/10.2105/AJPH.2017.303888
Rovner, J. (2018). The election’s impact on health care: Some bellwether races to watch. Health Leaders Media . Retrieved from https://www.healthleadersmedia.com/elections-impact-health-care-some-bellwether-races-watch
