Affordable Care Act Argument Essay Text

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A defender and a critic of obamacare debate  the affordable care act’s coming impact on america. Medicare chief marilyn tavenner testifies on capitol hill in washington, tuesday, nov. 5, 2013, before the senate health, education, labor, and pensions committee hearing as the panel seeks reassurances about problems with the debut of the affordable care act. Ap the obama white house’s proudest achievement is –was the affordable care act of 2010.  but it’s been a rocky five weeks since the so called ‘rollout’ began.  the website healthcare dot gov has become public enemy number one.  signing up has been a mess.  if the present is murky, so is the future.  we don’t know yet how obamacare will, long term, change american health care, what it costs us, and the health of the american people.

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Former head of medicare / medicaid and senior health and welfare adviser to former president george w. Key architect of massachusetts health care reform, former technical consultant to the obama administration during the development of the affordable care act. national journal: the ‘train wreck’ may have happened a little over six months later, here we are. Contracts for public relations are on hold while contracts for healthcare.gov  are being extended to cover the sites repairs. People are indeed confused about the law, and the botched rollout has contributed to that confusion. The specifics of baucus prediction are holding up better than he or sebelius probably want to acknowledge.

That means, that in about two of every three states, its the people in the cciio war room, and their colleagues, who are managing the back end of the exchange. new yorker: obamacares three percent but if the web site isn’t working by the end of november, gruber thinks the difficulties with a.c.a. By that point, some people may not be able to sign up for a plan before january 1st, when health coverage begins for people who bought plans during the open enrollment period that started on october 1st. Please follow our community rules when engaging in comment discussion on this site.

editors' note: henry aaron delivered the following remarks at the conference on equity and choice in health care access. The conference focused on issues related to health care access post affordable care act. it rsquo s late in the day. And most everything has been said, although, as former representative morris udall once said late in a conference, ldquo not everyone has said it.

Rdquo you are probably more interested in getting to the airport or going home than in anything i might say. Rdquo the first debater is a happy soul, a real ldquo glass is half full rdquo person, optimistic and upbeat. That said, the health reform law has survived its two greatest existential threats. And, of course, the 2012 presidential election reelected barack obama, its champion.

Meanwhile, it was pretty clear that the public was not much interested in radical change. One minority on the political left wanted some form of single payer system mdash medicare for all. another minority on the political right wanted individual consumers to buy insurance aided by some sort of voucher. The only politically feasible way to reform was to build on current insurance arrangements. Implementation would have been easier had congress adopted one of these more radical policy options.

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They tried very hard to be conservative mdash in the sense that they sought to disturb current insurance arrangements as little as possible. So do certain current practices of insurance companies that are both understandable and deplorable mdash charging the sick or the old premiums that are unaffordable except for the well to do, denying coverage to those in greatest need, canceling coverage for heavy users of services. Fragmented delivery of care makes high quality hard to establish, maintain, and verify. The tax breaks for employer financed health care need to be curbed or eliminated. On all of them, the affordable care act contains, in at least embryonic form, provisions to move the nation in the right direction.

But, as far as optimism about the aca is concerned, she is my mdash that is, polly rsquo s mdash soul mate. Alice writes: ldquo one of the persistent criticisms of the aca rings absolutely true: it is a complicated law, not easily explained in sound bites. Its effectiveness will depend heavily on how well it is implemented by numerous players, especially the states.

On the contrary, the aca is complex because its authors aspired to tweak our complicated, fragmented system of delivering and paying for health care without changing the system in any drastic way. Rdquo ldquo in sum, i believe we are close to a workable bipartisan solution to the health care dilemma that could. These reforms will not involve blowing up the current system and replacing it with either a european style single payer model or a fully market based model. At this point in our history, publicly acceptable changes in health delivery must retain and improve the mixed public private financing structure, including employer based insurance coverage, medicare, medicaid, and federal subsidies to help low and moderate income households purchase health insurance coverage. They must focus on gradually altering incentives to providers and beneficiaries to participate in cost and quality oriented health delivery systems. ldquo these reforms will not give us a perfect health care system mdash just one that we can keep tinkering with and improving on in order to ensure that the system offers good quality care to almost everyone at sustainable costs. We won rsquo t discover the perfect health care system, but we do have a shot at accepting the main features of a pretty satisfactory status quo and continuing to adjust it around the edges constantly trying to make it more effective, fairer and less costly to the combination of public and private entities that are paying the bills.

Things may look good to you, but while you were talking murphy has been grimacing and squirming hin his seat. i don rsquo t really disagree with polly rsquo s political analysis of how we have gotten where we are today. I do want to say that i thought that president obama rsquo s decision to go after full blown health reform can fairly be described as either gutsy or rash. Gutsy, if one looks at the history of health reform failure, the analytic complexity of the task, and the political minefields that had to be safely negotiated. Rash if one recognizes that he was betting his administration on an issue where the chances of failure were mdash and i will argue, still are mdash high. But as one close advisor remarked ldquo those are the kinds of decisions we elect presidents to make. Rdquo polly says that the 2012 election determined that the affordable care act will be implemented.

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The 2012 election determined that we will try to implement the affordable care act. Seventeen states and the district of columbia are now trying to set up state health exchanges. Seven states are partnering with the federal government to perform the same functions. Five and one half months from now, the exchanges must start enrolling individuals and small groups in insurance plans that, as of january 1 next year, people must carry. I agree with polly that the job would have been easier had congress tossed out the whole current, messy system. Things would have been easier if the affordable care act were simpler, as it would have been had it gone to a full conference committee.

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