The Affordable Care Act (ACA) was introduced to America in 2010, and it was implemented in 2014. It was created to expand health insurance coverage and improve access to quality care (Ercia,
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The Affordable Care Act (ACA) was introduced to America in 2010, and it was implemented in 2014. It was created to expand health insurance coverage and improve access to quality care (Ercia, 2021). Before this act was thought of, our country saw an overwhelming amount of communities that did not receive the necessary care to live a healthy life due to not being able to afford care at all. Keeping that in mind, we as a country saw a great change after the implementation of these policies by indirectly addressing disparities within the community. Low-income individuals saw a decrease in out-of-pocket costs and premiums which resulted in there being a decrease in racial gaps when it came to accessing care as well as costs (Lantz & Rosenbaum, 2020). By addressing this gap, these communities were able to take better care of themselves by becoming aware of illnesses before they onset into something more extreme. There was a greater reduction in states that also expanded Medicaid (Lantz & Rosenbaum, 2020). The act helped to cut the number of uninsured persons nearly in half (Hosseini, 2020) and increased Medicaid coverage by 10-15% (Ercia, 2021). While there were more insured persons, something that the Affordable Care Act did not address was the overload of primary care physician schedules or these physicians’ declining insurance plans due to the low kickback they would receive as a result of the expansion of Medicaid coverage (Hosseini, 2020). As a result of this, hospitals saw an increase in visits, especially for non-emergent, cases which was the opposite of the overall goal for these facilities (Hosseini, 2020). Given the goals set forth during the implementation of the Affordable Care Act and steering away from aligning it with one’s political views, it was considered to be wildly successful. As a country, we were able to see more individuals receive quality care than in recent years prior. The long-term benefits of the Affordable Care Act remain unknown as it was picked apart, and some disposed of, starting in 2017 under a new presidential administration.
References:
Hosseini, D. H. (2020). Misallocation of Demand and the Persistent Non-emergent Use of the Emergency Department Post-Healthcare Reform. Hospital Topics, 98(2), 51-58. https://doi-org.ezproxy.umgc.edu/10.1080/00185868.2020.1750325
Ercia, A. (2021). The impact of the Affordable Care Act on patient coverage and access to care: perspectives from FQHC administrators in Arizona, California and Texas. BMC Health Services Research, 21(1), 920. https://doi-org.ezproxy.umgc.edu/10.1186/s12913-021-06961-9
Lantz, P. M., & Rosenbaum, S. (2020). The Potential and Realized Impact of the Affordable Care Act on Health Equity. Journal of Health Politics, Policy & Law, 45(5), 831-845. https://doi-org.ezproxy.umgc.edu/10.1215/03616878-8543298
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