What are some disadvantages of the Affordable Care Act?

Asked by: Jacynthe Jacobi  |  Last update: December 1, 2023
Score: 4.3/5 (51 votes)

Cons:
  • The cost has not decreased for everyone. Those who do not qualify for subsidies may find marketplace health insurance plans unaffordable. ...
  • Loss of company-sponsored health plans. ...
  • Tax penalties. ...
  • Shrinking networks. ...
  • Shopping for coverage can be complicated.

What are ethical issues with the Affordable Care Act?

The recently enacted Affordable Care Act (PPACA) of 2010 has fueled ethical debate of several important controversial topics. Ethical issues of health care reform include moral foundations, cost containment, public health, access to care, ED crowding, and end-of-life issues.

What objective of the ACA failed?

Failed to Bring Down Overall Healthcare Spending

A key promise made prior to implementation of the ACA was that the law would reduce overall healthcare spending, despite significantly expanding Medicaid and creating subsidies for lower-income individuals to purchase insurance.

Why do people think the Affordable Care Act is unconstitutional?

United States Department of Health and Human Services declared the law unconstitutional in an action brought by 26 states, on the grounds that the individual mandate to purchase insurance exceeds the authority of Congress to regulate interstate commerce.

Why was the Affordable Care Act met with controversy and opposition?

Although the majority of Democrats supported the ACA, many Republicans were opposed to what was seen as an overreach of government power and began to refer to the ACA as “Obamacare.” Opponents of the law had issues with the individual mandate that required people to purchase health care through the ACA or a private ...

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24 related questions found

What has been the most controversial provision in the Affordable Care Act that has led to Supreme Court challenges?

Individual mandate. The most legally and politically controversial aspect of the ACA, the individual mandate requires Americans to purchase health insurance or face a government penalty, with some exceptions—particularly for low-income individuals who cannot afford to buy insurance [3].

Is the ACA a success or failure?

Since its enactment on March 23, 2010, the Affordable Care Act has led to an historic advancement of health equity in the United States. This landmark law improved the health of all Americans, including women and families, kids, older adults, people with disabilities, LGBTQI+ and communities of color.

Is the ACA still effective?

Indisputably, yes. More than 20 million people have gained coverage as a result of the ACA. It has dramatically reduced the uninsured rate. On the day President Obama signed the ACA, 16 percent of Americans were uninsured; in March 2020, it was nine percent.

Is the Affordable Care Act worth it?

The ACA helps cut high U.S. health care costs.

In addition to increasing insurance coverage, the Affordable Care Act makes investments in programs designed to reduce the cost and improve the quality of health care.

What are the 2 biggest ethical issues in health care?

Here are the top five ethical issues that health care managers of today and tomorrow will be facing in the course of delivering responsible and compassionate patient care.
  • Patient Confidentiality. ...
  • Patient Relationships. ...
  • Malpractice And Negligence. ...
  • Informed Consent. ...
  • Issues Related To Physician Assisted Suicide (PAD)

What were the main problems the Affordable Care Act was trying to fix in 2009?

The Patient Protection and Affordable Care Act (ACA) has 3 main objectives: (1) to reform the private insurance market—especially for individuals and small-group purchasers, (2) to expand Medicaid to the working poor with income up to 133% of the federal poverty level, and (3) to change the way that medical decisions ...

What is the biggest ethical issue in health care today?

Patient Confidentiality

One of the biggest legal and ethical issues in healthcare is patient confidentiality which is why 15% of survey respondents noted that doctor-patient confidentiality is their top ethical issue in practicing medicine.

Which problem was the Affordable Care Act designed to address?

About the Affordable Care Act

Make affordable health insurance available to more people. The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100% and 400% of the federal poverty level (FPL).

How does the Affordable Care Act affect the economy?

The ACA's deficit-reducing effects will grow over time. CBO estimates that over the decade from 2023 through 2032, the ACA will reduce the deficit by an average of 0.5 percent of GDP each year, corresponding to total deficit reduction of nearly $1.6 trillion over that ten-year period.

How did the Affordable Care Act affect providers?

The ACA took several steps to reward or penalize certain behaviors by providers in the traditional fee-for-service program. This includes initiatives such as the Hospital Readmission Reduction Program, the Hospital-Acquired Condition Reduction Program, and the Hospital Value-Based Purchasing Program.

Who ended the Affordable Care Act?

On May 4, 2017, the United States House of Representatives voted to pass the American Health Care Act (and thereby repeal most of the Affordable Care Act) by a narrow margin of 217 to 213, sending the bill to the Senate for deliberation.

What did Biden do to ACA?

For his first two years in office, President Biden prioritized the ACA in his legislative agenda. Early in his term, he signed the American Rescue Plan Act of 2021 (ARPA), which included a significant increase in premium subsidies for Marketplace enrollees, through 2022.

Has the ACA saved money?

The ACA has helped bend the cost curve. But we should not rest on this $650 billion savings success. We can do more. Policymakers have increasingly come to understand that high prices are the biggest contributor to the growth in the cost of health care.

How can the Affordable Care Act be improved?

11 ways to improve Obamacare
  • 1) Require insurance companies to offer all ACA-qualified policies through the State Marketplaces. ...
  • 2) Permanently expand the premium tax credits to apply to everyone, regardless of income. ...
  • 3) Remove the employer mandate.

Who does the ACA benefit the most?

2020). The coverage gains under the ACA made it easier for people to get health care. Adults with low income have benefited the most from the law's insurance subsidies, out-of-pocket cost protections, and expansion in Medicaid eligibility.

How many lives did ACA save?

The Affordable Care Act's (ACA) expansion of Medicaid to low-income adults is preventing thousands of premature deaths each year, a landmark study finds. It saved the lives of at least 19,200 adults aged 55 to 64 over the four-year period from 2014 to 2017.

What states did not accept the Affordable Care Act?

Wyoming, Kansas, Texas, Wisconsin, Tennessee, Mississippi, Alabama, Georgia, South Carolina and Florida have yet to adopt the expansion of Medicaid, leaving over 2.1 million people in the “coverage gap” — meaning they fall into the income level that would make them eligible for Medicaid but cannot access it because ...

In which 3 ways did the Affordable Care Act affect individuals?

The law has 3 primary goals:
  • Make affordable health insurance available to more people. ...
  • Expand the Medicaid program to cover all adults with income below 138% of the FPL. ...
  • Support innovative medical care delivery methods designed to lower the costs of health care generally.

How many people were affected by the Affordable Care Act?

New Reports Show Record 35 Million People Enrolled in Coverage Related to the Affordable Care Act, with Historic 21 Million People Enrolled in Medicaid Expansion Coverage.