Affordable Care Act

timer Asked: Jul 4th, 2018
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Question description

Review the following lecture:

  • Policy Formulation: Agenda Setting

Examining the Individual Mandate

The Affordable Care Act (ACA) requires all US citizens and legal residents to obtain qualifying health coverage. In this week, you will explore the Individual Mandate section of the new health reform law.


  • Explain the Individual Mandate included in the Patient Protection and ACA including the tax penalties that will be imposed if a person or a family does not obtain qualifying health coverage.
  • Analyze the eligibility criteria for exemptions and subsidies to obtain coverage.
  • Explain one policy change or enhancement you would recommend if you were required to ensure the success of the Individual Mandate included in the Patient Protection and ACA and justify the intended outcome.

From the Internet, review the following:

Submission Details:

  • Submit your response in a 4- to 6-page Microsoft Word document formatted in APA style.
  • On a separate page, cite all sources using APA format.

Policy Formulation: Agenda Setting The existence of health related societal problems does not automatically trigger policy changes that solve such problems. Each problem needs to be understood including all its complexity, solutions and potential solutions need to be identified, and the current political circumstances need to be understood in order to assess the will of the pubic as well as law makers. As it happens, the problems that are identified as important or urgent get immediate attention from policymakers. Aggressive congressional intervention usually depends on its public salience and the degree of group conflict surrounding it. Some problems gain traction simply due to a confluence of events and political ripeness. Potential solutions to problems may not be readily present and will need formulation. Alternatively, policy making can be slowed if there are several potential solutions, each favored by a different interest group. Analysis plays a key role in identifying optimal solutions for inclusion in a policy. Apart from an analysis of advantage-to-disadvantage of alternative solutions, there should always be an awareness of unintended consequences and room for evolution. In this regard, data driven analysis with quantifiable results always has a better chance of finding a place on the policy agenda. All other things being equal, the existence or lack of political will may render an agenda stagnant. The political circumstance surrounding each problem-potential solution is a crucial third variable in creating a window of opportunity. Additionally, the influence and tenor of interest groups play a pivotal role in moving agendas forward. Sometimes, individual policymakers seem to make frustratingly counterintuitive decisions, and it may be because of how much power a certain interest group may wield over them. Interest groups may use strategies such as lobbying, campaigning through advertisements, organized protests, electioneering, litigation, as well as monetary “carrot and stick” tactics. Lastly, chief executives such as presidents, governors, mayors, etc. also influence policy agenda. Stages of Agenda Setting Identify the problem • • • Problems must be important and urgent Problems must stimulate disagreement between interest groups Problems must present an incentive for legislators Identifying possible solutions • • • A feasible solution must be presented to advance a problem into the policy-making process Numerous solutions should not be presented as it introduces competition Competing proposals make agenda setting difficult Political Circumstances • • • A feasible solution must be presented to advance a problem into the policy-making process Numerous solutions should not be presented as it introduces competition Competing proposals make agenda setting difficult

Tutor Answer

School: UIUC



Individual Mandate of the Affordable Care Act
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Different governments all over the world have got a number of key issues that are
deemed important to them and which need utmost attention from those in leadership. Some of
the most pressing issues that many governments have to effectively deal with include the
following: wage bill, internal as well as external security, education, infrastructural development
as well as healthcare. Over the past few decades, the issue of proper health care has received
great attention across the globe due to the rising levels of disease occurrence as well as recurring
and new infections (Reinhardt, Hussey & Anderson, 2004). Various factors have also led to the
high costs of healthcare among citizens of various countries. Provision of quality and affordable
healthcare to the citizens is among the top agendas on almost all the governments in different
countries all over the world. In the United States, a number of policies have been adopted in a
bid to provide affordable healthcare to all the American citizens (Reinhardt, Hussey & Anderson,
2004). Among the policies to have been adopted by the US government is the patient protection
and ACA (Act, 2017). Through this act, almost all American citizens have had the privilege of
enjoying effective and quality healthcare services at reasonably low costs. A number of
significant issues related to the Patient protection and ACA have been discussed in this paper,
among which includes the following; the individual mandate included in the act, eligibility
criteria especially for those seeking exemptions as well as some of the proposed penalties to
those not obtaining this healthcare cover.



The ACA and Patient Protection
This act was officially signed into law by the former United States president, Barrack
Obama on the twenty-third of March, 2010 (Act, 2017). Since its inception, this act has also been
referred to as the Obamacare. It has been viewed by many as a big step in the United States'
healthcare system since the Medicaid and Medicare acts of the 1960s. The law has three major
objectives (Act, 2017).
The first objective of this law is to provide affordable health insurance covers to the
entire United States population. Various factors have been considered in determining the number
of premiums paid by individuals as well as families with respect to the level of income. T...

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