Essay on "Health Care Reform Efforts"

Essay 3 pages (1100 words) Sources: 4

[EXCERPT] . . . .

Health coverage is one of the means of health care financing in the United States that has evolved through a series of social interventions (Bodenheimer & Grumbach, 2012, p.5). Each of these social interventions solved a problem but ended up creating its own problems requiring more intervention. While health care financing has evolved in the history of the U.S. health sector, it is an important feature because of its significance in determining accessibility and affordability of health care services in light of the high costs of health insurance. Therefore, health care financing or coverage is an important health policy and reform that could help improve the accessibility and affordability of care services to the population.

Significant Challenges in Enactment of PPACA:

While the enactment of the Affordable Care Act has in increasing the quality and affordability of health coverage, the legislation has encountered several challenges since it was signed into law. One of the major challenges that have hindered its full implementation is the numerous state actions and laws prohibiting the execution of some of its provisions. Since its enactment, various states have developed laws to restrict, change or oppose certain provisions of this act. Consequently, certain states have opted out of some of the provisions of PPACA and hindered its full implementation.

The nature of the policy-making process is relatively difficult since it is coupled with varying opinions and divisive issues. In most cases, the policy-making process is usually characterized with controversies and debates that are based on political affiliations. For instance, while PPACA received h
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uge support from Democrats, it was largely criticized and attacked by Republicans even after its enactment into law (Leflar, 2013). Republicans capitalized on PPACA's public unpopularity and continued to highlight the challenges associated with its full implementation. These challenges have shown why health reform in the United States has been so difficult, especially in light of the controversies surrounding health reform initiatives and measures undertaken to prevent full implementation.

In conclusion, health reform is still a major issue in the U.S. health care system because of the increased need to enhance the accessibility and affordability of care services while ensuring that health providers offer high-quality services. This issue has remained divisive and very difficult to achieve because of the nature of the policy-making process and challenges that every reform effort encounters across the political divide. An example of the difficulty in achieving health care reform in the United States is the enactment of the Affordable Care Act that has continued to face several challenges with regards to its full implementation.

References:

Bodenheimer, T., & Grumbach, K. (2012). Understanding health policy: a clinical approach (6th ed.). New York, NY: McGraw-Hill Medical.

"Key Features of the Affordable Care Act by Year." (n.d.). Features of the Health Law.

Retrieved from U.S. Department of Health & Human Services website: http://www.hhs.gov/healthcare/facts/timeline/timeline-text.html

Leflar, R.B. (2013, July 12). Reform of the United States Health Care System: An Overview.

Retrieved from University of Arkansas website: http://media.law.uark.edu/arklawnotes/2013/07/12/reform-of-the-united-states-health-care-system-an-overview-2/

Rosenbaum, S. (2011, February). The Patient Protection and Affordable Care Act: Implications

for Public Health Policy and Practice. Public Health Reports, 126(1), 130-35. Retrieved June 3, 2014, from www.ncbi.nlm.nih.gov/pmc/articles/PMC3001814/ READ MORE

Quoted Instructions for "Health Care Reform Efforts" Assignment:

TOPIC: Health Care Reform

After much public and political debate, in March 2010, the Patient Protection and Affordable Care Act (PPACA) was signed into law by President Barack Obama. The PPACA is one of many health care reform efforts that have sought to correct key features of the U.S. health care system such as financing, service delivery, and care coordination. This week, you will examine the passage of PPACA as a milestone along the historical continuum of health care reform in the United States.

To prepare:

Review this week’s Learning Resources and media presentation, reflecting on the evolution of health care in the United States and the public’s response to health care reform efforts historically and currently.

1. Consider: What principal features of the U.S. health care system helped or hindered the enactment of federal health reform in March 2010? What challenges were encountered?

2. How do these conditions and/or challenges reflect characteristics of the policy process and the political environment?

Post a cohesive response that addresses the following:

A. Analyze at least one important feature of the U.S. health care system that is of particular interest to you. Explain why you think this feature is significant in terms of health policy and reform.

B. Describe one or more conditions or challenges specifically related to the passing of the PPACA. C. Explain how this exemplifies the nature of the policy-making process, and evaluate how it could relate to the question of why health reform in the United States has been so difficult.

How to Reference "Health Care Reform Efforts" Essay in a Bibliography

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