Health care in Indiana and the United States has received a lot of attention since the Barack Obama presidential campaign in 2008. Hoosiers in Indiana and Americans throughout the United States lack health care coverage. One goal all individuals have is obtaining health care coverage suitable for their individual needs. Since the health care reform became a big topic of discussion, health insurance has started to become more available. Between Obamacare and work sponsored health insurance, many Americans are able to have health insurance. According to research done by Westover et. al (2013), the passage of the Patient Protection and Affordable Care Act of 2010 (PPACA) created a greater future role for state Medicaid health plans and necessitates more efficient health care coverage. Low-income individuals have the need for more frequent medical attention than previously insured patients. Gaps in health care coverage, whether partial or full year gaps, have been linked to adults with serious, chronic health conditions. According to research done by Gulley, Rasch, and Chan (2011), among all working-aged adults, 28 million (16%) remained uninsured for all 12 months, and an additional 21 million (12%) reported part year coverage. The goal of the health care reform was to eventually provide equal care coverage and quality to all Americans. The primary focus of researchers studying the health care reform is to discover how much coverage Americans have access to and also to
rehend the PPACA, one must understand the history of the United States’ health care system. The most successful and known reform would be the passage of Medicare and Medicaid. President Johnson’s main objective with his program was to provide health insurance to those over 65 years old, who otherwise wouldn’t be able to receive coverage due to retirement or being financially unfit to purchase health insurance. It has since been expanded to cover those with disabilities, and lower income families (“Overview,” 2015). Brady (2015) examines President Clinton’s attempt to massively overhaul health care in the United States. His plan, the Health Security Act (HSA), required employers to offer health insurance to their employees, and mandated that every US citizen purchase health insurance. This plan would have most likely expand health insurance to many more Americans; however, many feared the large tax increases, restricted options for patients, and with the lack of general support for the bill, it failed in Congress and was never implemented (p. 628). President Clinton’s failed attempt at health care reform opened up the door to future reforms, and it even shared multiple similarities to the PPACA. Smith (2015) updates the history of the health care system in America stating that “In the mid-2000s, America’s uninsured population swelled to nearly 47 million, representing about 16 percent of the population” and how “16 million Americans […] were underinsured” (p. 2). People
According to the Department of Health & Human Services (HHS), 16.4 million of the previously uninsured are now insured (2015). The agency attributes this increase to the ability of young adults to stay on their parent’s plans until age 26, the Marketplace, and Medicaid expansions. However, while 12.3 million of the newly insured are the result of Medicaid expansions, only 28 states have expanded Medicaid (HHS, 2015). Many remain uninsured. According to a report from the Kaiser Family Foundation (Garfield, Damico, Cox, Claxton, & Levitt, 2015), 32.3 million nonelderly people remain uninsured. The foundation estimates that 15.7 million (nearly half) of these people are eligible for assistance through Medicaid or Marketplace subsidies. For others, reasons for remaining insured include their states refusing to expand Medicaid, having an income too high to receive a subsidy, or their immigration status (Garfield et al., 2015). The ACA has been effective in improving the number of those who have health coverage, however it has not achieved 100% coverage. Millions continue to lack coverage, including those who are eligible to receive aid. In addition to this, partisan politics has prevented the expansion of Medicaid in all states. There is also a portion of the population whose income may not be enough to pay for insurance but is too high to receive government
The Patient Protection and Affordable Care Act (PPACA), or Obamacare, was authoritatively marked into law on March 23, 2010. It was created to make healthcare more lower-priced and effectively available to a more extensive scope of Americans. Under the law, individuals in the United States who do not meet all requirements for an exemption are required to acquire a minimum amount of health care coverage. Supporters of Obamacare argue that it has had some benefits since its passage, including reducing the uninsured rate, enabling a huge number of Americans to acquire health insurance through the new health insurance exchanges or Medicaid expansion. In the article “Trump Should Save Obamacare” by Nancy-Ann Deparle states that twenty-four million
Large populations of Americans are uninsured mainly because of the high cost of insurance. Majority of the uninsured are the low-income working families’. The adults represent a higher percentage of the uninsured than children. Before the law, you could be denied coverage or treatment because you had been sick in the past, be dropped mid-treatment for making a simple mistake on your application, hence, the Affordable Care Act was implemented into law on March 23, 2010 by President Barrack Obama to make sure that every American irrespective of their status will be insured and have full access to proper health care benefits, rights and protection(1). To understand the
Before the Obamacare, many individuals had no medical insurance. A noted author, Amy Anderson state: “Approximated 30 million Americans were anticipated to gain health insurance through the Affordable Care Act (ACA) or Obamacare; a comprehensive healthy workforce would be needed to meet the massive demand”. (Anderson, 2014)
It has been six years since the Affordable Care Act has been implemented into the United States healthcare system. As the pieces and provisions of this monumental federal statute become understood and executed, it is transforming the demand for care. Prior to the ACA, a significant number of Americans were marginalized and unable to obtain coverage. This system was faced increasing healthcare costs, placing greater financial strain to everyday Americans, businesses, and public health insurance systems. The ACA did not only help ensure health coverage for all (almost
There are Currently 32 million people without health insurance in the United States. This means that roughly 83 per cent of citizens have to live day by day hoping they won’t get sick. For this reason, President Obama signed the U.S health reform bill into law. The health reform will make health care more affordable for citizens. Employers with more than 50 employees will be forced to provide coverage for all, or they will have to pay a fine. It will also make health insures more responsible. For example, health insurance carriers are forbidden from placing lifetime dollar limits on policies, from denying coverage to children because of pre-existing conditions, and from canceling policies because someone gets sick. It will also expand
‘Over 105 million people living in America today no longer have to worry about having their health benefits cut off’ (Secretary WH) . Since enacted, the Affordable Care Act (ACA) has been able to provide for millions of lower and middle class Americans a secure and reasonable healthcare plan that best suits their medical needs. The Patient Protection and Affordable Care Act (PPACA) also commonly refer to as ‘Obamacare’ was a solution implemented in 2010 to help reform the precarious healthcare system in the United States. The ACA imposed three key reforms adopted from the successful Massachusetts system of healthcare. First, the ACA established a “guaranteed issue and community rating requirements” which essential barred healthcare insurances
“The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice.” Public Health Reports. Association of Schools of Public Health. n.d. Web. 14 July 2015. This paper claims that the PPACA will cut the number of uninsured Americans in half. The act attempts to provide nearly universal coverage and improve the quality and equity of said coverage through reforms to insurance standards and the marketplace. It also attempts to improve the quality of healthcare and the efficiency of its delivery by allowing consumers to edge the system into a more integrated state and measuring performance. It attempts to encourage preventive medicine by targeting chronic illnesses and funding community-based medicine. These changes will bring huge opportunities for improvement in the system, many of which are subtle and nuanced and will only be seen as the plan rolls into act over the next few
In 2010, the President of the United States signed the Patient Protection and Affordable Care Act (PPACA) into law (Luther & Hart, 2014). As written, the PPACA will be the most extensive change in the financing and provision of healthcare in 50 years (Luther & Hart, 2014). The stated purposes of the legislation are to decrease the number of medically uninsured people as well as decrease the cost of insurance and healthcare for those already insured (Shi & Singh, 2015). Medicaid expansion is significant element of the PPACA and is designed to provide health insurance to the lower income population (Vincent & Reed, 2014). The purpose of this paper
The United States has received a lot of benefits from Obamacare in helping the aid of many American citizens in the last five years. It offers many benefits that have helped people who are struggling in daily lives to get proper care. In the last five years, the health care reform has been providing a skyrocket in people to get insurance. It has also made an impact in the environment lowering any costs related to health.”New data from the Obama administration shows that Medicaid enrollment grew by almost 27 percent in the expansion states, compared to 8 percent in non-expansion states.”
The ACA is made up of a series of additions of and changes, to the multiple laws that are made up from the legal framework of the U.S. healthcare system. This act establishes the basic legal protections that have been nonexistent to the United States, will now guarantee access to affordable health insurance coverage for Americans, from when they are born, all the way through his or her retirement. The act hopes in cutting the number of uninsured Americans by more than half of the U.S. population (Rosenbaum, 2011, p.130). This law hopes to result in health insurance coverage for about 94% of the American population (Rosenbaum, 2011, p. 130). This will reduce the population of uninsured Americans by 31 million people, and increase Medicaid enrollment by 15 million recipients (Rosenbaum, 2011, p. 130). Approximately 24 million people are still expected to remain without a coverage plan. The act has several goals. For instance, one goal of the ACA is to have a close to universal coverage system, with the help and responsibility among individuals, employers, and largely, the government. The second goal is to improve the fairness, condition, and affordable prices of health insurance coverage for Americans (Rosenbaum, 2011, p. 130). Lastly, a third goal is to improve the quality of health care through value, excellence, and effectiveness while trying to reduce inefficient spending and making the healthcare system more reachable to a diverse population (Rosenbaum,
Since the passage of the Affordable Care Act (ACA) or ‘Obamacare’ in 2010 and its implementation in 2014,there has been a steady decline in the uninsured population of the United States of America. The number of Americans with health insurance, has reached a historic peak. According to recent data from the Census Bureau about health insurance coverage, the number of uninsured Americans fell from 33 million the year prior to ACA implementation to 29 million in 2014.The total uninsured rate dropped by more than 4 percent since the health care law took effect. The ACA has significantly reduced the number of Americans who were not able to acquire health insurance due to poverty, unemployment, or having a pre-existing condition.
This year being an election year means that the American people are confronted with many issues and disparities that plague our nation. One of these hot button topics is that of healthcare. The United States is the only developed nation without a universal healthcare system, but spends the most for health services. With so many Americans lacking the adequate care needed or facing bankruptcy due to piling medical bills, one must look at the health disparities that are causing this super power nation to inadequately serve its citizens.
In this section, I will review the effects of the Affordable Care Act (PPACA) and discuss its expansion of health care access for different races and classes. Established in 2010, PPACA is a federal statute that determines the health care conditions of Americans. The requirements of PPACA are important to understand because they directly affect the health care access of millions of Americans. This literature overview will provide an insight on the effect of PPACA regulations on health care accessibility, in addition to clarifying the contrasts in health care access experienced by different races and classes.