Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050
The U.S. Federal Government is made up of three branches: legislative, executive, and judicial. To ensure the government is effective and citizen’s rights are protected, each branch has its powers and responsibilities, including working with the other branches. The legislative branch is made up of the House and Senate, known collectively as the Congress. Among other powers, the legislative branch makes all laws, declares war, regulates interstate and foreign commerce, and controls taxing and spending policies. (United States House of Representatives, n.d.).
The members of the house are elected every two years. In general, the elected officials usually have much passion and want to make good policy during their terms. Many come to their respective legislative bodies because they want to make a difference and be part of good government (National Council for the Social Studies, n.d.).
One of the most essential policies enacted by the legislators is the ACA (Affordable Care Act), famously known as Obamacare, a comprehensive care reform law enacted in March 2010. The three main goals of the ACA (Affordable Care Act) are: to make affordable health insurance available to more people, enhance Medicaid programs, and support innovative medical care delivery methods designed to lower the costs of health care (Health Care, n.d.). However, some conservatives objected to the policy. It is because of the increase and high insurance premiums that we need to pay for Obamacare. They also think that it may have adverse effects on the quality of care. According to Laureate (2018), the ACA (Affordable Care Act) passed without Republicans’ signatures. After it was passed and implemented, half of the states, led by either Republican governors or legislatures, are actively challenging or ignoring the law. So it is clear that obviously, politics is playing a significant role in both the design at the outset and now the implementation of the ACA (Affordable Care Act). During Trump’s administration, the republicans tried to replace the ACA (Affordable Care Act) with AHCA (American Health Care Act). The AHCA (American Health Care Act) ensures more affordable health by not requiring everyone to buy the insurance and not paying penalties if they decide to buy later. However, the AHCA (American Health Care Act) has not to get the majority of the vote and has not become a law. According to a national poll done by Quinnipiac University, 56% of American voters disapproved of the AHCA, and 46% of voters said they would be less likely to vote for their representative if they supported the AHCA. If doing the right thing wasn’t enough to get Republican representatives to oppose the bill, knowing that they could lose their seats in the next election sure was (Iyamah J., 2017).
The number one job of a legislator is to be re-elected. Legislators want to remain in office or at least leave on their terms. In order to find the support to be re-elected continually, legislators must be aware of not only the political climate but also how specific votes will affect their ability to stay in office. They must consider the will of their constituents, the needs of their state, and the desire of their party (National Council for the Social Studies, n.d.). Once legislators win a seat, they are expected to make good decisions on whom they support and what advocacy they champion. In a cost-benefit analysis, the making of policy and law should pass a stringent process. They need to influence other legislators with their arguments. Sufficient data and research should support a bill to pass a debate and move to the Senate. The bill needs the majority of the votes in order for it to be a policy. If a legislator did not re-elect, the policy they make or amends could be dismantled. In order for a bill to be a policy, a legislator needs support from the officials. The policy should cover the greater good of the population. The re-election of a legislator means continuity of the policy they started or a chance to repeal a current policy.
Health Care.gov (n.d.). Affordable Care Act (ACA). Retrieved from https://healthcare.gov/glossary/affordable-care-act/
Imayah, J. (2017). Why did the American Health Care Act Fail?. Friends Committee on National Legislation. Retrieved from https://fcnl.org/updates/2017-04/why-did-american-health-care-act-fail
Laureate Education (Producer). (2018). Introduction to Health Policy and Law with Joel Teitelbaum (Video file). Baltimore, MD: Author.
National Council for the Social Studies. (n.d.). How Legislators Make Decisions. Retrieved from https://socialstudies.org/advocacy/how-legislators-make-decisions
The White House. (n.d.). The Legislative Branch. Retrieved from https://whitehouse.gov/about-the-white-house/our-government/thr-legislative-branch/
United States House of Representative. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/
Unites States Senate. (n.d.). Senate organization chart for the 115th Congress. Retrieved September 20, 2018, from https://www.senate.gov/reference/org_chart.htm
Individuals, regardless of political affiliation, are frequently concerned when they consider perceived competing government interests and their impact on topics of interest to them. The healthcare industry is no exception. Some people believe that local, state, and federal policies and legislation can be aided or hampered by interests other than societal benefit as stated in Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050.
Consider that the most important job of a legislator is to be re-elected. Cost can be
expressed in both votes and dollars. As a result, it is critical to consider the legislator’s perspective on whether or not to promote a particular initiative in the political landscape as discussed in Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050.
To Prepare for Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050:
Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
Consider who benefits the most when policy is developed and in the context of policy implementation.
Click here to ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050
By Day 3 of Week 3
Post an explanation of how you believe the cost-benefit analysis of legislators’ reelection affected efforts to repeal/replace the ACA.
Then, explain how analyses of voters’ views may influence legislative leaders’ decisions in recommending or positioning national policies (for example, decisions by Congress affecting Medicare or Medicaid).
Remember that the most important job of a legislator is to be re-elected.
Please review your discussion grading rubric to ensure that your responses meet the requirements.
By Day 6 of Week 3
Respond to at least two of your colleagues* on two different days by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.
*Note: Throughout this program, your fellow students are referred to as colleagues.
Submission and Grading Information
To access your rubric:
Week 3 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 3
To participate in this Discussion:
Week 3 Discussion
Politics and the Patient Protection and Affordable Care Act
In the political system, the main aim of any political leader is to get reelected. The Trump administration and the legislators allied to the ruling have tried to repeal the Patient Protection and Affordable Care Act (ACA) three times since 2016 and they have not been successful. What Americans presumable need as it concerns universal healthcare, involves slight changes to the ACA as opposed to repealing it (Milstead & Shortm, 2019). As such, in their quest for reelection, the legislators may engage in cost- benefit analysis in repealing the ACA.
Owing to the fact that Americans have shown openly that they are not for repealing the ACA, exercising patience may be of great significance in ensuring that the legislators attain reelection. However, insisting on repealing the policy could be costly to the legislators. According to Milstead and Shortm (2019), legislators who take an angle of making changes to the policy could have a significant benefit that could positively affect their re-election since it has been evident that this is what the American voters want.
As such, analysis of the views of voters could have significant effects on the decisions by legislators as it concerns recommendation of such national policies as impacting changes on the Center of Medicare and Medicaid Services, which has been a hot bone of contention over the years (Taylor et al., 2017). As much as the ACA failed to take Americans to the promised land of universal health care, the views of voters are not for repealing but for making specific changes that would ensure that the policy ensures universal health coverage. Therefore, in their quest for reelection, legislators could decide on making policy recommendations that align with the views of the voters (United States House of Representatives, n.d).
Milstead, J.A., & Shortm, N.M. (2019). Health Policy and Politics: A nurse’s guide (6thEd.) Burlington, MA: Jones & Bartlett learning.
Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, VC.,Safriet, B. J., & Hagan, T. (2017). Corrigedum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346-350. DOI: 10.1016/j.outlook.2017.05.003
United States House of Representatives. (n.d). Retrieved from https://www