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Please write a response to each post below (keep separate) and use 2 references for each.
Replacing the Affordable Care Act with the American Health Care Act (AHCA) was first initiated in 2017. Accessibility and cost are the most cited reasons for favoring or supporting the repealing of the ACA (Ashley Kirzinger, 2022). The cost-benefit analysis in terms of legislators being re-elected played a significant role in efforts to repeal/replace the Affordable Care Act (ACA). Legislators had to consider the potential impact of their vote on their re-election prospects, as they knew that voters would hold them accountable for their actions on such a high-profile issue. For example, some legislators may have supported the repeal of the ACA to appease their base and potentially attract more conservative voters in the upcoming election. On the other hand, other legislators may have opposed repeal efforts to retain the support of moderate or liberal voters.
In terms of voter views affecting decisions by legislative leaders, it is essential to understand the attitudes and beliefs of their constituents. Understanding the voters’ views can help legislative leaders make informed decisions that align with the interests of their constituents. For example, if there is widespread support for expanding Medicaid or Medicare coverage, legislative leaders may prioritize legislation that addresses these issues.
Furthermore, understanding the voters’ views can also help legislative leaders anticipate potential backlash or opposition to certain policy proposals. For instance, if a majority of voters oppose cuts to Medicare or Medicaid, legislative leaders may be less likely to support such proposals. The number one job of a legislator is to be re-elected, and they must ensure that their decisions align with the preferences of their constituents to maintain their political standing (Milstead & Short, 2019). A legislator in a democratic state such as California benefits from supporting the ACA.
In conclusion, understanding the cost-benefit analysis in terms of legislators being re-elected and analyzing the voters’ views is crucial in shaping national policies. Legislative leaders must be aware of the potential electoral consequences of their decisions and prioritize policies that align with the interests of their constituents.
Ashley Kirzinger (2022, April 14). 5 charts about public opinion on the Affordable Care Act. KFF. Retrieved from https://www.kff.org/health-reform/poll-finding/5-charts-about-public-opinion-on-the-affordable-care-act-and-the-supreme-court/
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide. Jones & Bartlett Learning.
The politics and the Patient Protection and Affordable Care Act
Legislators, according to Beland et al. (2019), are the providers of legislative benefits. With the primary goal of re-election to their positions. Legislators are confronted with big societal concerns during elections, and they must choose sides. The ACA was designed to provide insurance coverage to the uninsured and underinsured through Medicaid expansion; access to healthcare services would lead to improved outcomes for the newly insured. The ACA also aimed to improve healthcare quality, lower the rate of growth in healthcare spending, and increase access to healthcare services for particularly vulnerable groups, such as children and pregnant women.
The cost-benefit analysis in the politics and the patient protection in repeal/replace the Affordable Care Act (ACA) was hampered by controversy on what should be replaced in the prospects of repeal without the replacement of merit analysis. There are various underlying factors in understanding the economic theory of government legislation and decision-making including self-interests (Feldstein, 2006). For instance, in 2016 both houses did not come to a general agreement on what should be replaced among the Congress and the Republicans. Due to the disagreement, some Republican candidates suggested health policies that they would like to be replaced, however, no agreement was reached on a replacement for the ACA (Tricia, Karen, & Larry, 2017). Ideally, the replacement flopped due to the given extent of the gain in health coverage and congress interest, especially in presidential candidates since it is estimated that approximately 20 million people would have gained health coverage due to the ACA. That said, the price of the legislation in the repeal/replacement of ACA was basically influenced by politics. Support on the various demanders considering the allocation of benefits.
The divergence from the real issues by the legislators to personal interests is usually. Lobbied by power industries sponsoring and financing electoral campaigns. Based on the analyses of politics involved in the ACA repeal, the coverage and cost of Medicaid would affect immensely among low-income older adults. For instance, the Medicare and Medicaid health insurance exchanges are aimed at improving the health and health care of the people. Under the current law, by 2013 there were approximately 47.5 million non-elderly people, and the number is expected to increase to 29.6 million people by 2021 since health coverage increases due to new enrolment in Medicaid and the marketplaces (Blumberg, Buettgens & Holahan, 2016). Depending on the legislators’ interest and political mirage, the new financial arrangements by the House-passed American Health Care Act (AHCA) the federal government would minimize state funding which has voted to inflate coverage under Medicaid, hence repealing the Affordable Care Act would lead to a higher federal match for state expansion funding (Blumberg, Buettgens & Holahan, 2016). Eventually, this would lead to the loss of health insurance to people between the age of 50 and 60 years until attaining the age of 65 years to be covered under Medicare.
Blumberg, L. J., Buettgens, M., & Holahan, J. (2016). Implications of Partial Repeal of the ACA through Reconciliation. Washington, DC: Urban Institute.
Feldstein, P. (2006). The politics of health legislation: An economic perspective (3rd ed.).
Chicago, IL: Health Administration Press.
Tricia, N., Karen, P., and Larry, L., (June 2017). How ACA Repeal and Replace Proposals Could
Affect Coverage and Premiums for Older Adults and Have Spillover Effects for
Medicare. Retrieved from http://files.kff.org/attachment/Issue-Brief-How-ACA-Repeal-
Beland, D., Rocco, P., & Waddan, A. (2019). Policy feedback and the politics of the Affordable
Care Act. Policy Studies Journal, 47(2), 395-422. https://doi.org/10.1111/psj.12286
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