Monday, June 3, 2019
Patient Protection and Affordable Care Act Debate
Patient Protection and low-cost premeditation Act DebateEunae JeongPatient Protection and Affordable Cargon Act should continueWhen people heard the news that the first patient with the Ebola virus arrived in Dallas, they were frightened by not only brat about the Ebola virus itself provided also by fear that both(prenominal)one in the early stage of infection might not see the pay back because of the enormous cost of wellness care. In March 2010, President Barack Obama mansion houseed into the law the Patient Protection and Affordable Care Act (PPACA) or obamacare. It is the linked States first health care reform since legalization of Medicare in 1965. Provisions of PPACA include that, in brief, all Ameri foots should buy health insurance policy from the Health policy Marketplace in their state. Another provision states that the federal governing body should support insurance exchanges financing (Patient Protection and Affordable Care Act (PPACA)). PPACA inescapably to con tinue because through the implementation of this Act, people with pre-existent conditions as well as a lot of uninsured people stern be aided, and the work out for Medicare can be reduced at any time.Although there are many opposing views on PPACA, the implementation of PPACA has to be support because of its clear advantages. For example, imagine that there are a man with type I diabetes, which developed when he was young. To manage type I diabetes, periodical injections of insulin are needed. This means that he needs to visit the doctor to get insulin throughout his life. The cost of insulin depends on insurance insurance coverage. If he tries to apply for insurance in this situation, the insurance company will decline his application due to he has a pre-existing condition. The reason why he is worried about this problem is that he is an American. Fareed Zakaria reports that other countries, such as Switzerland or Taiwan, support their peoples universal insurance independently of pre-existing conditions (22). This is possible because the government, not private insurers, provides the coverage (22). Before PPACA came to the front, Americans had to be anxious about the United States terrible health care support system. To address this issue, PPACA prohibits that insurance companies deny an application on reckon of applicants pre-existing conditions (Patient Protection and Affordable Care Act (PPACA)). Also, another benefit of the program is that the uninsured Americans can be aided by intricacy of PPACA. With the implementation of PPACA, they can have opportunities to get medical service when they require it. According to the article written by Leonard Zwelling, for example, 28 percentages of adults, about 6 trillion people, in Texas are currently uninsured and about 3 million uninsured Texans can get coverage by the implementation of PPACA (13). In addition, because the budget cuts for Medicare are possible if the states finances are endangered PPACS sh ould continue. One of key facts that the Obama administration provide PPACA includes current Medicare and has a plan to expand it with states cooperation. Uninsured adults do not have as much political leverage as wealthier insured citizen who can contribute to political campaign. Therefore, the securing of the budget for Medicare can be imperil easily when there is pressure to cut the budget. Already, there are calls for curbing the laws subsidies that will help the uninsured buy coverage as part of a bipartisan budget deal-an extraordinarily bad idea, given the limited scope of those subsidies. Clearly, PPACA is required to protect and expand Medicare. / reference Oberlander, Jonathan, The New England daybook of treat.The debating on the implementation of PPACA continues even though PPACA has already begun implementation. Young Americans represent the implementation of PPACA because they already have health insurance, and they might spend more currency if the federal governme nt and states try to expand health insurance. The Institute of Politics of Harvard University questioned 2089 citizens aged 18 to 29 56% of those 18 to 24 disapproved of the Presidents job performance 53% of those 25 to 29 disapproved and 47% maintain they would recall President Barack Obama if that were possible (Emord, Jonathan W. YOUNG AMERICANS TO OBAMACARE NOT INTERESTED USA Today, February 2014. 16). They turn over that PPACA is primarily attractive to those who have been uninsured in the past and who suffer from chronic or acute and costly diseases. It is likely that only those individuals will sign up for the program. Most of interviewees have already health insurance. They think that PPACAs benefits will not affect them because they are already insured by some other way. Instead, those polled might think that they will have to pay the specie that allows expanding health insurance through PPACA. Also, because PPACA does not target a particular population, money might be muffd in the allocation of funds in the federal governmental budget for PPACAs implementation. In his article The Future or Obamacare, Jonathan Oberlander argues that there is no clear programmatic identity unlike Medicare and Social Security, PPACA does not have a well-defined population of beneficiaries, and its benefits are diffuse. (Oberlander, Jonathan. The Future of Obamacare, The NEW ENGLAND ledger of MEDICINE (2012). Furthermore, Texas and 15 other states assert that PPACA, with expansion of Medicare, should be reconsidered because it will raise state expenses. (Zwelling, Leonard. Obamacare Why Should We Care? Journal of Oncology Practice Vol .10, Issue 1 (2014). This is the most difficult, prolonged assault, which the federal government and states should overcome for continuous implementation of PPACA. In spite of these opposing opinions, PPACA should continue to go to the fore. First of all, nobody can assure that they will have enough insurance when they will need health care. In 1963, Kenneth J. Arrow wrote, UNCERTAINTY AND THE WELFARE ECONOMICS OR medical checkup CARE. In his article, Kenneth J. Arrow contended that health care industry could be explained with uncertainty in the incidence of disease. Namely, the reason why young Americans oppose PPACA implies that young Americans are literally young. Current situation can change suddenly the insurance is for risk and uncertainty. prolongation Kenneth J. Arrow, UNCERTAINTY AND THE WELFARE ECONOMICS OF aesculapian CARE, The American Economic polish, Vol LIII December 1963 Number 5 941-973. Moreover, PPACAs targeting to the universal population of the US is not a weak point, but a strong one. There are other countries with universal access and universal insurance such as Switzerland and Taiwan. Their types of insurance are similar to Medicare supplied by their government instead of being supply by private insurance companies. Surprisingly, while the United States spends 17% of its GDP on health care, Switzerland and Taiwan spends 11% and 7% respectively, of their GDP on it. Because PPACA is not completely enacted Act yet, addressing concerns over budget waste and discussing solutions are necessary to make PPACA move forward Reference Zakaria, Fareed, Time magazine, 3/26/2012. Last but not least, the Federal government, not each state, will support the expansion of PPACA at a blow% level until 2017, a bit less later, then at 90% indefinitely after 2022(Zwelling, Leonard 12). For example, in Texas, for every $1 the state spends on health care for the poor, the US government matches $9 dollars. This effectively means that, during the first 10 years of the program in Texas (current Medicare program plus expansion) the federal government would increase payments to the Texas health care system by nearly $90 billion, whereas the state of Texass share would be $15.6 billion. However, there are no specific plans after 10 years. More patchworks should be added in many holes of PPA CA for its sustainable implementation.PPACA is not perfect yet, but its direction is right. Because PPACA can aid people with pre-existing conditions or uninsured people and can support Medicare, which may be endangered. The opponents argue that they have already health insurance, money might be wasted, or state expenses will be increased. PPACA, supported by the federal government, however, can guarantee peoples future health insurance. In the process of the implementation, although waste of the budget can occur, and PPACA does not have enough time to be revised, it can be getting better with continuous debating with many opposing views. Therefore, PPACA needs to go on in spite of several opposing opinions.Works citedArrow, Kenneth J. UNCERTAINTY AND THE WELFARE ECONOMICS OF MEDICAL CARE The American Economic Review LIII (1963) 941-973. Academic Search Complete. Web. 16 Oct 2014.Emord, Jonathan W. YOUNG AMERICANS TO OBAMACARE NOT INTERESTED. USA TODAY Feb. 2014 16. PrintHealth Care that Works for Americans. the White House hot seat BARACK OBAMA. The government of the United States of America, 2014. Web. 28 Oct. 2014Levy, Michael. Patient Protection and Affordable Care Act (PPACA). ENCYCLOPAEDIA BRITANNICA. Encyclopaedia Britannica, Inc., 2014. Web. 16 Oct. 2014Oberlander, Jonathan. The Future of Obamacare. New England Journal of Medicine 367.23 (2012) 2165-2167. Academic Search Complete. Web. 16 Oct 2014.Zakaria, Fareed. Health Insurance Is for Everyone. Time 26 Mar. 2012 22-23. Print.Zwelling, Leonard, and Hagop M. Kantarjian. Obamacare Why Should We Care? JOURNAL OF ONCOLOGY PRACTICE 10.1 (2013) 12-14. Academic Search Complete. Web. 16 Oct 2014.
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