The Affordable Care Act
Maria E. Williamson
18 August 2013
In this paper we will address what Obama Care is and see how the implementation of this act shows governmental power and action. The Affordable Care Act is commonly known as “Obama care” and while President Obama had much to do with its eventual approval. The power of the lobbies in our nation’s capital, as well as, the efforts in the House and Senate played as equally important roles in the success of this health care reform bill. What we can see is the power of congress over the President and how this new law will forever change the conservative ideology. We will break down the plan and then analyze the power of the branch and the relationship between the acting branch and other branches.
President Obama signed the Affordable Care Act, also known as “Obama care”, on March 23rd, 2010. What is the purpose of the reform act? Obama care prohibits insurance companies from denying or dropping coverage because of pre-existing conditions, it creates insurance exchanges for those buying individual policies, and creates a committee of experts that would limit government reimbursement only to treatments that have been shown to be effective. Additionally, Obama care was estimated to cost about $938 billion over ten years, but also reduce the federal deficit by $138 billion. Its purpose is to extend insurance to more than thirty million people by expanding Medicaid and providing federal subsidies to help lower and middle income Americans to buy private coverage. Now, where does the money for Obama care come from? Partly by reducing corporate welfare and reducing overpayments for Medicare Advantage and lastly reducing tax breaks for very generous insurance plans and new taxes on wealthy. Many Americans will be helped that are not receiving medical attention because they do not have the means for health insurance. On the other hand, does this mean redistribution? Yes, it does many people will be helped at the expense of others. In turn, American’s lives will be healthier with now having the means to seek medical attention. Goals are to provide affordable health insurance for all U.S. citizens and reduce the growth of health care spending. The plan does not replace private insurance, Medicare or Medicaid. It also gives 47 million women access to preventive care, as well as, making it illegal to charge women different rates than men. Also, giving seniors access to cheaper drugs and free preventive care. Additionally, Americans with pre-existing conditions will not be denied insurance by year 2017. About 54 Million Americans with private health insurance now have access to preventive services with no cost sharing due to the new minimum standards of Obama care. Hence, reducing healthcare spending. The current $2.8 trillion to U.S. healthcare system costs almost nine thousand dollars a year for every man, woman and child. Health care reform has been a public controversy for years. Democrats and Republicans have proposed health care reform bills in the House of Representatives and Senate, almost at every presidency term. For example, in the 2008 Democratic primary race, both Senator Hilary Clinton and Senator Barack Obama presented different health care reform plans. In 2009, President Obama met with industry leaders to touch bases about his plan. This would be Obama’s first attempt at using his power to persuade to get things done during his presidency. At this point, Republicans did everything they could to repeal the law. Even though, the Supreme Court upheld the act constitutionally, there were still many voices that were concurring. In September 2009, Obama made the appeal to Congress. He addressed both sections of Congress and asked opposing Republicans to look for improvements that could be made to the bill instead of focusing on dismissing it completely. Now, it was in the hands of...
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