a certain level of fairness

To achieve a certain level of fairness, people need to value each other equally. This event will enable a society that is working together to help address the inequalities that can be avoided wherever possible. It is needed to do a lot more to improve healthcare access and reduce inequalities that are common in the United States other than relying on a narrow approach, that is, the promotion of healthcare insurance.

In 2010, The Affordable Care Act (ACA) was enacted to bring on the same level both high uninsured rates and rising health care spending through insurance extension reforms, determinations to decrease waste and reduce social disparities. After a decade, there is significant confirmation that the ACA has diminished social disparities in some fundamental health care outcomes, linking health insurance coverage, health care access, the use of primary care, and some specific clinical preventive services (Lantz & Rosenbaum, 2020).

Year 2020 marked a decade of the Affordable Care Act, which has made preventive care more available and health insurance more affordable for millions of Americans. Despite President Trump’s efforts to repeal the Affordable Care Act, the reform manages to bolster the U.S. primary-care delivery system, and to stipulate provision of insurance for pre-existing conditions. The American Nurses Association (2020) supports the healthcare reform, which recognizes the value of human life and calls nursing practitioners to lead positive transformations within their settings.

ACA was also anticipated to have a variability of impacts in extents within the view of economics, including outcomes on health care coverage, admission to care, financial security, preventive healthcare, and health care spending. An aim of the ACA was to achieve extensive coverage to protect the consumer protective law of private health insurance, and aids in the form of Medicaid extension for low-income households and tax credits for middle-class households. A key result in numerous studies acknowledged the enclosed services of Medicaid and some private insurance plans were restricted and not all providers recognized them. This left patients to endure confronting barriers in getting primary and secondary care reserves, mostly in zones that had insufficient providers. It stresses the need for additional policies in these plans to be broadly accepted as to prevent patients from having health insurance coverage but incapable to establish care with a provider or access to reasonable health care services. While local and state level policies may be an effective first step in addressing this problem, a broad national approach could better address this issue that could reduce different practices through states.

The ACA provides coverage to millions of Americans, with acknowledged progresses in health care access, low-cost coverage, and better health. Endorsement of the ACA and its constituent policies is vital to understanding the current momentum in health policy but is only one display into accepting the current debates in health policy: half of Americans report positively viewing the ACA, but some more intensely favor alternative approaches to health change. Overall, there is little indication it has made a substantial contribution to decreasing health care spending, mirroring the fact that we have not figured out a politically viable way forward on substantial cost control (Nikpay et al., 2020).

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