Nursing free essay:Should Obamacare be Repealed?
Should Obamacare be Repealed?
One of the goals of the newly-elected President Trump is to repeal Affordable Care Act that was introduced by the administration of President Obama. A remarkable aspect of the Affordable Care Act is that it enhances access of healthcare services to many Americans who did not have healthcare insurance coverage. For instance, many insurance programs were established under the Act, such as Medicare and Medicaid, which have been providing healthcare services to groups that lacked adequate access to healthcare insurance before. Under the Act, private insurance companies are not allowed to levy a higher amount of premiums on clients simply because they have pre-existing medical conditions (Cooper and Gardner 54). After the implementation of the Act, patients with pre-existing health conditions were guaranteed healthcare insurance. In this regard, the Affordable Care Act helped to enhance equality of access to healthcare services in the US (Custer 42). Despite this, there have been several issues raised regarding the current healthcare system in the US, such as lack of universality and high overall costs. Now that the new administration of President Trump plans to repeal or replace the Affordable Care Act, there are numerous concerns about how the changes will affect the US citizens. The main question that emerges is; should the Affordable Care Act be repealed or replaced? From overall assessment, the Affordable Care Act should be repealed only if the new healthcare system will be relatively more effective in addressing the healthcare needs of the US citizens.
One undeniable fact is that the Affordable care act requires some improvements.
No one can deny that implementation of Affordable Care Act helped to significantly improve healthcare access in the US. As such, any change to the current healthcare system should be done with caution to ensure that no group of people in the US will be impacted negatively. At the same time, it is vital to acknowledge the fact that there are inherent weaknesses in the Affordable Care Act. First, the Act does not guarantee healthcare insurance to all people living in the US. In fact, health care in the US today cannot be said to be fully treated as a basic human right (Stoltzfus & Pollack 547). The findings of a study conducted by Centre for Disease Control and Prevention in 2015 indicated that about 13 percent and of the US citizens aged above 65 years do not have healthcare insurance. Also, the study indicated that about 16.3 percent of US citizens aged between 16 and 64 years do not have access to healthcare insurance (Centre for Disease Control and Prevention, n.d). Issues have also been raised regarding the budget allocation on healthcare under the current system that has suppressed government funds (Pear n.d). Thus, there is a need for improvement to the current healthcare system in order to enhance equality of access to healthcare by all. However, it is essential to note that President Trump’s policy is not to make improvements to the Affordable Care Act but to make an overhaul change on it.
The answer to whether or not the Affordable Healthcare Act should be repealed by the current administration of President Trump will depend on the approaches that will be undertaken to repeal it and the expected consequences. The administration of President Trump might decide to carry out partial repeal of the Affordable Care Act through reducing government expenditure on healthcare insurance. In that case, those who will not be provided with healthcare insurance by their employers and the government will have to pay for their medical bills or purchase healthcare insurance privately. However, as Blumberg, Matthew and Holahan (34) suggestd, carrying out a partial repeal will need to be done cautiously since there might be significant negative effects of the US citizens. For instance, the implementaioon of partial repeal is not likely to be a smoooth process. If that approach is taken, numerous insurance companies that provide healthcare insurance will be affected. A reduction in the expenditure on health insutrance will leave millions of US citizens without health insurance, yet they have access to health insurance currently. Inequality in access to healthcare will increase since motre US citizens will not afford to purchase healthcare insurance. Experts in healthcare have argued that a repeal to the Affordable Healthcare involving reduction in exexpenditure will contribute to 43,000 deaths annually (Himmelstein and Woolhandler n.d). Thus, repealing the Affordable Care Act in a way that will involve reduction of healthcare expenditure by the givernment might lead to very undesirable outcomes.
Despite this, Ptresident Trump has stated that he will focus on offering universal and affordable cre to all people in the US. However, he hs not given a specific description of the approach to be taken in order to ensure that all people in the US will have access to healthcare. Offering universal healthcare can be the best strategy to adopt if it will be possible to do it. There is likelihood that President trump might decide to adopt a single-payer healthcare system like the one that is operational in Canada. In a single-payer healthcare system, the govrnment funds healthcare services for all citizens. As such, all citizens have free access to healthcare services (Stoltzfus & Pollack 547). Recently, there has been increasing pressure for the USD government to enhance equality of access to healthcare. In fact, even healthcare providers in the US have been pushing the government to change the current healthcare system. In May 2016, around 2000 doctors in the US submitted proposal to the government suggesting the adoption of a single-payer healthcare system (Osksman, 2016). As such, President Trump might consider implementing the single-payer healthcare system.
There are several implications of a single-payer healthcare system. First, the goal of equality of access to healthcare services for all will be achieved since all healthcare services will be provided free of charge or the government might decide to charge a small fixed fee for all citizens. Second, insurance companies will not provide health insurance anymore since only the government will be providing healthcare coverage for all (Shecktor 31). The current multi-payer system will cease to exist. Further, the quality of care will be enhanced since no funds will be needed for the patients to access quality healthcare services. In addition, the current administration costs incurred in government sector and the companies offering health insurance will reduce since overall management will be under one roof. However, the changes needed to adopt a single-payer healthcare system will also need caution since they will result to numerous interruptions during the implementation process (Gaffney et al. 988).
Considering the fact that the Affordable Care Act has some weaknesses, it is vital to determine a way of improving it or adopting a better alternative. However, the approach to repealing the Act should not lead to undesirable consequences on the US citizens. Resident Trump has stated that he is going establish universal healthcare. Most likely, he will replace the current multi-payer healthcare system with a single-payer system. If that would be the approach, it will be acceptable. However, the implementation process should not be done with haste and caution should be taken to ensure that the implementation process is effective. If the repeal will have detrimental impacts, it is better to retain the Affordable Care Act.
Blumberg, Linda J., Matthew Buettgens, and John Holahan. Implications of Partial Repeal of the ACA through Reconciliation. Urban Institute. Washington, DC, 2016. Print.
Centre for Disease Control and Prevention. Health Insurance Coverage. 2016. Web. 18 February
Cooper, Robert W. and Lisa A. Gardner. “Extensive changes and Major Challenges Encountered in Health Insurance Markets under the Affordable Care Act.” Journal of Financial Services Professionals 70.5 (2016): 53-71.
Custer, William S. “Medicare Advantage as a model for Affordable Care Act Marketplaces.” Journal of Financial Service Professionals 71.1 (2017): 40-42.
Gaffney, Adam, Steffie Woolhandler, Marcia Angell and David U. Himmelstein. “Moving
Forward From the Affordable Care Act to a Single-Payer System,” American Journal of Public Health, 106.6 (2016): 987-988.
Himmelstein, David and Steffi Woolhandler. “Repealing the Affordable Care Act will kill more than 43,000 people annually.” 23 January 2017. The Washington Post. 18 February 2017. <https://www.washingtonpost.com/posteverything/wp/2017/01/23/repealing-the-affordable-care-act-will-kill-more-than-43000-people-annually/?utm_term=.78f11a3b1655>.
Osksman, O. (2016). ‘We need fundamental changes’: US doctors call for universal healthcare.
The Guardian. Retrieved from https://www.theguardian.com/us-news/2016/may/05/us-doctors-calling-universal-healthcare-system-affordable-care-act
Pear, Robert. “Why Do Health Costs Keep Rising? These People Know.” 9 June 2016. The Nw York Times. 14 February 2017. <https://www.nytimes.com/2016/06/10/us/health-insurance-affordable-care-act.html>.
Shecktor, Andrew. ObamaScare. Shecktor Enterprises Inc., 2015. Print.
Stoltzfus, Jost Timothy and Harold A. Pollack. “Making Health Care Truly Affordable after
Health Care Reform,” Journal of Law, Medicine & Ethics 44.4 (2016): 546-554.
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