Running head: SHORT DISCUSSIONS
What are some of the problems with U.S. health care policy? How was the Affordable Care
Act (ACAA) designed to address these problems? Why have many conservatives been
opposed to the ACA? How would you assess the impact of the ACA so far?
The U.S. healthcare policy has increased the healthcare costs tenfold since the 80s, and
this has also affected the insurance premiums that Americans have to pay. Currently, the nation
spends approximately $2.6 trillion annually, and this makes it the largest spender in the highly
industrialized countries. Considering that the nation’s insurance system is privatized, premiums
have risen significantly and this has made it difficult for some Americans to get insurance cover.
Close to 16% of the entire population is uninsured, which amounts to more than 50 million
citizens (Hester, 2017). It, therefore, implies that patients from low-income families and those
with serious ailments cannot afford health insurance.
The U.S. has also established the system of care that involves the health maintenance
organizations (HMOs) that enroll subscribers in their places of work. HMOs are prepaid health
plans with specific healthcare providers; thus, a patient should visit a doctor employed by the
HMO; otherwise seeing another doctor implies no insurance coverage (Oberlander, 2018). This
kind of plan risks patient health because one is not guaranteed of meeting the same physician on
every visit, unlike a scenario where an employee is used to a specialized family doctor.
The Affordable Care Act (ACA) brought healthcare coverage to more Americans by
providing subsidies, broadened the Medicaid program to include adults with incomes below
138% of the federal poverty level, and supporting innovative medical initiatives designed to
reduce the cost of care in general ...