Affordable Health Care Act: https://healthcarereform.procon.org/historicaltimeline/ Uncertainty Over States and Medicaid Expansion: https://www.nytimes.com/2012/06/29/us/uncertaintyover-whether-states-will-choose-to-expand-medicaid.html In Reversal, Florida to Take Health Law’s Medicaid Expansion: https://www.nytimes.com/2013/02/21/us/inreversal-florida-says-it-will-expand-medicaid-program.html?_r=0 Trump Issues Executive Order Scaling Back Parts of Obamacare: https://www.nytimes.com/2017/01/20/us/polit executive-order-obamacare.html?_r=0 Where 2020 Democrats Stand on Medicare for All: https://www.washingtonpost.com/graphics/politics/policy2020/medicare-for-all/ 1 Who Should Solve the Problem? Background A central question regarding federalism is which government has the power to act and which entity should act on a given issue. This recurring debate regarding the proper division of powers between the state and national government has been playing out over the Affordable Care Act since it was signed into law in 2010. I have attached the law for you to review below. After the act was passed, there were several lawsuits challenging the constitutionality of the individual mandate and expansion of Medicaid. The Supreme Court ruled in favor of the federal government on the mandate, but allowed states the right to opt out of the expansion of Medicaid. The fight over the ACA continues as the Trump Administration and Republican controlled Congress sought to repeal and replace this law (unsuccessfully). Several Democratic presidential candidates have made health care their key issue advocating for further federal involvement in the health care system (e.g. Medicare for All plans). Instructions Research these sites to gather facts regarding the Affordable Care Act. You may also conduct research beyond these suggested sites. 1. Read through the following overview of the Affordable Health Care Act Here are a few articles on the Supreme Court rulings and subsequent actions by state governments: • Uncertainty Over States and Medicaid Expansion • In Reversal, Florida to Take Health Law's Medicaid Expansion • Trump Issues Executive Order Scaling Back Parts of Obamacare Where 2020 Democrats Stand on Medicare for All Next, discuss with your classmates whether you think health care should be regulated by the national government or state governments. Explain why. Discuss the advantages and disadvantages of each scenario. Discuss the merits and pitfalls of repealing and replacing the ACA and/or potential merits or externalities (unintended consequences) of the Medicare for All plan. Each student will create a discussion and respond to at least two classmates' posts.
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