Cost Component to Health Care Discussion
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Question Description
Caitlin Breidt
RE: Discussion – Week 3
As a nurse, I got into the profession to help others and have never been focused or driven on the cost component to health care. After last week’s discussion post, where I chose to look at the previous 3 presidents and chose to look at health insurance, my eyes were opened to the Affordable Care Act and the later attempted repeal of this legislation, and have begun to focus my attention more on the monetary component to health care. Unfortunately, health care is driven largely by politics and cost. Obamacare “aimed to eventually slow the growth of US healthcare spending, which is the highest in the world.” Additionally, Obama Care also helped over 25 million Americans obtain health care. With good intention in mind, and an opposing political party who took office after Obama, it was only as matter of time before changes would be made to the ACA.
Politicians run for a seat in their respective positions and propose legislation repeal and reform based on how they feel the general public will respond to and vote for them. In the case of the Trump election, Obama had enacted the Affordable Care Act (ACA) that was later repealed under the promise of Trump while he was running for office. After Trump got into office “congressional Republicans last year finally succeeded in repealing the Obamacare requirement that people buy health insurance or pay a tax penalty.” Obama worked to decrease healthcare costs and imposed a penalty if you did not carry insurance. the Trump administration removed the penalty if you did not carry health insurance as part of the ACA.
The ACA afforded more people with things like pre-existing conditions and low-income families to obtain health insurance, so this population benefitted from the legislation. The long-term goal of the ACA was to lower healthcare spending in the US. While both Trump and Obama have the same goal in mind, it is making one look better than the other in true political fashion. As we are currently in in election year, another political candidate, Bernie Sanders, is proposing free healthcare/ Medicare for all, by increasing taxes. Ultimately, choosing your presidential candidate comes down to which politician steers closest to our individual beliefs.
References:
Laureate Education (Producer). (2018). Contemporary Issues in Public Health Policy with Joel
Teitelbaum [Video file]. Baltimore, MD: Author.
Obamacare: Has Trump managed to kill off Affordable Care Act? (2019, March 29). Retrieved from
https://www.bbc.com/news/world-us-canada-24370967
Willison, C. E., & Singer, P. M. (2017, August). Repealing the Affordable Care Act Essential Health
Benefits: Threats and Obstacles. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC55081…
16 hours ago
Emmanuel Oguno
RE: Discussion – Week 3
Policymakers find it very tempting to take a stance on repealing or replacing the ACA, and it is even harder when the rival political party controls some of the policy-making body. Moreover, each participant reacts to the perceived biases of the others. Trump administration has not appeared willing to acknowledge that it has chosen policies that fail a cost-benefit analysis. Instead, it has responded in several different ways. In a few cases, he has proposed implausible benefit analyses that do not survive serious scrutiny. It has also erected procedural barriers to regulation via executive order (Jonathan et al., 2020).
So far, the ACA has reduced healthcare spending by $2.3 trillion (In-Brief, 2016). For such money, Americans can save more or spend on goods and services that increase the quality of life—repealing/replacing the Affordable Care Actis a dangerous proposition for many. However, citizens can genuinely make a difference by weighing what they have to a loss against what they stand to gain; this helps them to make decisions to vote for their representatives. The political fallout from the consequences would be devastating. When it comes to the casting of votes, enough Republicans will conclude that repeal The ACA is a bad idea and will join the Democrats to sustain the basic structure of the healthcare reform or to vote for the new wave of Medicare for all as proposed by Senator Sanders. Cost Component to Health Care Discussion
Sometimes the choices made by legislators are “tragic” in that they decide not just who shall live but who must die. Policies made by elected officials sometimes leave some innocent people in life-threatening risks; Policymakers seeking reelection usually use the cost-benefit analysis appraisal method to support making their decisions about projects and policies. Policies and decisions made by policymakers may well affect their reelection; therefore, they use the results of cost-benefit analysis to arrive at a well-founded evaluation of their decisions and policies (Mouter, 2019). Cost Component to Health Care Discussion
References
Aaron, H. (2017). Why Republicans cannot and will not – repeal Obamacare
Jonathan S. Masur & Eric A. Posner, (2020). Chevronizing Around Cost-Benefit Analysis: Deregulation in the Trump Administration. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3538456
Mouter, N. (2019). The Politics of Cost Analysis. Oxford Research Encyclopedia of Politics 10.1093/acrefore/9780190228637.013.1007
Sicherman, S. (2019). Repealing the Affordable Care Act & The Effects It Can Have. https://www.gaucherdisease.org/blog/repealing-the-affordable-care-act-the-effects-it-can-have/
Cost Component to Health Care Discussion