What specific challenges arose in the implementation of the Affordable Care Act?

Asked by: Mr. Hobart Johnson  |  Last update: October 4, 2023
Score: 4.4/5 (23 votes)

I identify key challenges in ACA implementation-the inherently disruptive nature of reform, partisan polarization, the limits of "near universal" coverage, complexity, and divided public opinion-and analyze how these issues have shaped its evolution.

What are some negative aspects of the Affordable Care Act?

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 problems did the Affordable Care Act address?

  • The ACA protects people with preexisting conditions from discrimination. ...
  • Medicaid expansion helped millions of lower-income individuals access health care and more. ...
  • Health care became more affordable. ...
  • Women can no longer be charged more for insurance and are guaranteed coverage for services essential to women's health.

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 are the challenges involved in repealing and replacing the Affordable Care Act?

As repeal-and-replace efforts persist, the EHBs face three main challenges: (1) regulatory implementation of the EHBs, (2) struggling individual and small-group markets in many state insurance exchanges, and (3) the Trump administration's push for selling health insurance across state lines.

Here's Why the Affordable Care Act Is So Controversial | History

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Why is the Affordable Care Act failing?

Not only did the ACA fail to control the rising cost of insurance, but it also failed to make health care and prescribed medicines affordable. According to a West Health and Gallup, 30 percent of surveyed individuals did not seek needed medical treatment due to the cost from September to October 2021.

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.

Why are people upset about the Affordable Care Act?

More than 60% of Americans have stated that most of what they know about the ACA came from watching TV. Opposition to a government role in health care and to mandatory health insurance makes it unlikely that the US will be able to insure that all of its citizens have ongoing access to health care in the near future.

What was one of the more controversial provisions of the Affordable Care Act?

One of the reasons why people are signing up is the individual mandate. One of the law's most controversial provisions, this mandate requires that most adults must have coverage or pay a fine.

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].

Has the Affordable Care Act been successful?

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.

What happened with the Affordable Care Act?

The ACA significantly changed the healthcare system in the U.S. by reducing the amount individuals and families paid in uncompensated care. The act requires every American to have health insurance and provides assistance to those who cannot afford a plan.

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.

Which problem was the Affordable Care Act designed to address quizlet?

more widely known as the Affordable Care Act or Obamacare. The act was enacted to expand coverage, hold insurance companies more accountable, lower healthcare costs, give people more choice for insurance, and increase the quality of healthcare/ health insurance.

How will the Affordable Care Act affect quality of care?

Findings In this nationally representative cross-sectional study of 123 171 individuals, the ACA was associated with more high-value diagnostic and preventive testing, improved patient experience and access, and decreased out-of-pocket expenditures for lower income US individuals.

How does the ACA affect healthcare costs?

The ACA helps to make health care more affordable in two ways: by providing insurance coverage for approximately 50 million people who are currently uninsured and by striving to control health care costs by changing how medical services are paid for.

Who did the Affordable Care Act hurt?

The biggest Obamacare losers are people who lost their insurance but are unlikely to qualify for subsidies through one of the new exchanges, which require an income of less than $47,000 for an individual or $95,000 for a family of four.

How did the ACA fail to provide access to healthcare for all individuals?

It largely failed. Health insurance markets are only afloat because of massive federal subsidies and premiums and out-of-pocket obligations significantly increased for families. While the ACA has led to about 13 million more people with Medicaid, many more have been harmed.

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 ...

Why was the Affordable Care Act controversial social work?

Why was the Affordable Care Act controversial? A.It requires that children receive coverage through the government rather than their parents' employers.

Why was the Affordable Care Act controversial quizlet?

Because opponents of the Affordable Care Act argue that forcing people to buy health insurance is an unconstitutional use of the Commerce Clause by Congress because health insurance is not related to interstate commerce.

Has the Affordable Care Act helped individuals or made it more difficult for some to pay their healthcare premiums?

High Premiums And Deductibles In The Individual Market

The ACA's significant changes to the individual insurance market helped many millions of people get more affordable insurance but pushed others, particularly those with incomes too high to qualify for subsidies, out of the market.

How many people are affected by the Affordable Care Act?

As of early 2023, the report finds that more than 40 million Americans have coverage under the ACA, the highest total on record.

Has the Affordable Care Act helped people?

The ACA has reduced the number of uninsured people to historically low levels and helped more people access health care services, especially low-income people and people of color.

Did the Affordable Care Act reduce the deficit?

In keeping with the President's pledge that reform must fix our health care system without adding to the deficit, the Affordable Care Act reduces the deficit, saving over $200 billion over 10 years and more than $1 trillion in the second decade.