Health Care Reform

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Health Care Reform
Lisa D Morgan
HCS/578
April 8, 2013
Linda P Bell

Health Care Reform
This paper will look at the health care reform that is taking place in the United States. It will examine how the reforms came about, the financial details of the reforms, and the possible economic effects related to its success or failure. The paper will also briefly look at the history of health care reform. The Affordable Care Act signed into law in 2010 has parts going into effect over the following four years. Portions that are in effect currently relate to pre-existing conditions, limiting lifetime coverage limits, providing free preventive care, and young adult insurance coverage (U.S. Department of Health & Human Services, 2010). Historic Attempts at Reform

President Franklin Roosevelt attempted to ensure health care for seniors in the 1930s but the effort failed. Medicare finally passed into law in 1965 under President Johnson. After Roosevelt’s first proposal many there bills were proposed and debated multiple times, never successfully (Mery, Liepert, & Cooke, 2010). Since its inception, many changes to the Medicare act have attempted to reduce and control costs. The diagnostic related groups (DRGs) were put in place in 1983 to limit hospital costs. Another attempt at reform was made under President Nixon; the Comprehensive Health Insurance Act (CHIP) was introduced in 1973. CHIP included three major programs: employee health insurance, assisted health insurance, and improved Medicare. The proposal was to make one of the three plans available to every American, but still maintain voluntary participation” (Mery, Liepert, & Cooke, 2010. Pg.17). It seemed an ideal, less expensive way to insure all Americans, but it could not pass Congress in the wake of the Watergate scandal and President Nixon’s resignation. Further reform to health care came in 1986, under President Reagan. The Consolidated Omnibus Reconciliation Act (COBRA) focused on...
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