Affordable Care Act

Medical Care Reforms in the United States has a history tracing several decades ago. Some of the initial attempts made are the Commonwealth Fund, Social Security Act 1935 an

 

Medical Care Reforms in the United States has a history tracing several decades ago. Some of the initial attempts made are the Commonwealth Fund, Social Security Act 1935 and the Hospital Reconstruction Act 1946. The attempts were however faced some challenges such as budget cut and social/political unrest. The attempts focused on community needs, strengths and expectations, participation and cooperation of the population among other foundations. The purpose of such efforts was solving health issues, empowering people, and mobilizing community partnership among others. Some of the problems that the law was trying to eliminate are: shortage of nurses, improvement of competency and performance standards. The government role in the public health sector entails assessment, policy development, and assurance. The paper seeks to examine the historical overview of the Affordable Care Act and its influence on the delivery of nursing care as well as the contribution of the nursing profession to the law.

The Affordable Care Act plans began in July 2009 when Nancy Pelosi, the Speaker of the House of Representatives, backed by a section of Democrats revealed her intention to overhaul the healthcare system. In August 2009, Senator Ted Kennedy a Democrat died, and this was a blow to the proponents of the law as they lost the 60Th vote required by the law. In November 2009, the Representatives voted again and the majority of Democrats won with 219 votes against the minority of Republicans who opposed this law. In the Senate, the vacant seat was occupied by a Republican who fought against the law, and thus, the Democrats suffered a severe blow as they could not make 60 votes required by law. The Democrats never lost their hope, therefore, they opted to use the Budget Reconciliation that requires 51 votes in the senate, and finally, on 21st of March 2010, the law was passed, and President Obama put his signature in it. The passage of the law meant that all people who had individual insurance plans prior to the law would have them still covered by the Act but as for the new applicants, they would have to meet all the requirements of the legislation. The law demanded new reforms in the technological, financial and clinical spheres of healthcare facilities, and it also required a staff to lower the cost of provided services, improve health outcomes and general accessibility. Later the law reduced the insurance rates and medical costs and mandated the insurance agencies to cover all the applicants according to the stipulated standards. The law focused on such issues as contraceptives, subsidized insurance, the individual mandate, and the change in the insurance standards and the stability of premiums.

By lowering the insurance rates and compelling the insurance companies to cover all applicants within the prescribed minimum conditions, the law enabled a large number of people, especially the low-income earners to access medical care when they feel unwell. The effort, therefore, was a step towards the improvement of healthcare for the American population. Moreover, the insurance helped to save the people from the burden of bankruptcy related to medical bills, and this was by relieving the people of the burden of medical cost thus enhancing their capability of accessing medical services.

The individual mandate stipulated by the law compelled people to purchase insurance covers for their families and themselves. The requirement might sound as harassment but the ultimate beneficiary was the patient because it enabled them to easily acquire medication in case of the illness strike. The law, therefore, provided a bridge for every American to access proper medical services. The law also played a crucial role in the provision of health care through the establishment of insurance exchanges that provided an online market where people could easily access covers while comparing prices and thus enabling them to easily access medical care when needed.

Through the changes in the insurance standards, the law offered protection from exploitation by insurance companies that abandoned people in the hour of need. By prohibiting such actions, the law enabled all insured people to access medical care regardless the severity of their illness. The legislation also outlawed price discrimination of the insurance covers, and thus, enabling people from all community groups as well as those with various diseases to enjoy the cover and to easily access medical care.

The nursing profession pertains to the nurses play significant roles in supporting individual and community health to eradicate or lower the severity of ailments in the society. Therefore, the law was developing the accepted criteria and standard for the nursing profession. The other its roles include monitoring of the health status, diagnosing illnesses, educating and empowering people, and mobilizing partnership in healthcare. The Affordable Care Act addresses such issues, and therefore, the nursing profession is one of the reasons why the legislation was enacted.

In conclusion, medical care reforms have a long history dated back to several decades ago when some efforts like the Commonwealth Fund, Social Security Act 1935 and the Hospital Reconstruction Act 1946 were passed. The initiatives paved the way for the launch of the Affordable Care Act in 2009. The formation of the law was not easy as it was greatly opposed by the Republicans. The law helped people to easily access medical care through a number of priorities such as insurance subsidies, the individual mandate, stability of premiums and the change in insurance standards among others. The law was enacted to address health issues particularly in nursing, and thus, the profession greatly contributed to the formation of the law.

Alicia Powell enjoys cookery and blogging. She is a writer at an elite essay writing service This company takes pride in providing the best custom paper writing service. Alicia ready to help with completing challenging writing tasks.


Alicia Poweell

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