Patient Protection and Affordable Care Act Debate

longanimous shelter and affordable charge take on DebateEunae JeongPatient Protection and Affordable C be Act should get acrossWhen people heard the news that the first patient with the Ebola virus arrived in Dallas, they were frightened by not only scourge near the Ebola virus itself scarce also by fear that mortal in the early stage of infection might not probe the doctor because of the enormous cost of wellness c be. In March 2010, chairperson Barack Obama signed into the law the Patient Protection and Affordable Care Act (PPACA) or obamacare. It is the united States first health care reform since legitimation of Medicare in 1965. Provisions of PPACA include that, in brief, all Ameri mass buoys should buy health damages from the Health Insurance Marketplace in their order. Another training produces that the federal regime should represent insurance exchanges financial backing (Patient Protection and Affordable Care Act (PPACA)). PPACA removes to continue be cause through the implementation of this Act, people with pre-existing conditions as well as a lot of uninsurable people shadower be aided, and the work out for Medicare can be reduced at any time.Although in that respect are many debate views on PPACA, the implementation of PPACA has to be supported because of its get to advantages. For example, imagine that there are a man with type I diabetes, which developed when he was young. To manage type I diabetes, periodical injections of insulin are needed. This means that he needs to visit the doctor to get insulin end-to-end his life. The cost of insulin depends on insurance coverage. If he tries to apply for insurance in this point, the insurance company go out decline his application due to he has a pre-existing condition. The reason why he is worried to the highest degree this problem is that he is an American. Fareed Zakaria reports that other countries, much(prenominal) as Switzerland or Taiwan, support their peoples uni versal insurance independently of pre-existing conditions (22). This is contingent because the government, not private insurers, provides the coverage (22). Before PPACA came to the front, Americans had to be anxious about the United States terrible health care support remains. To address this issue, PPACA prohibits that insurance companies deny an application on account of applicants pre-existing conditions (Patient Protection and Affordable Care Act (PPACA)). Also, another benefit of the platform is that the uninsurable Americans can be aided by expansion of PPACA. With the implementation of PPACA, they can ready opportunities to get medical service when they require it. According to the condition written by Leonard Zwelling, for example, 28 percentages of adults, about 6 million people, in Texas are currently un check and about 3 million uninsurable Texans can get coverage by the implementation of PPACA (13). In addition, because the reckon cuts for Medicare are possible if the maintains finances are endangered PPACS should continue. One of expose facts that the Obama administration provide PPACA includes current Medicare and has a plan to expand it with states cooperation. uninsured adults do not need as much political supplement as wealthier insured citizen who can contribute to political campaign. on that pointfore, the securing of the work out for Medicare can be threatened easily when there is pressure to cut the budget. Already, there are calls for curbing the laws subsidies that will help the uninsured buy coverage as part of a bipartisan budget deal-an extraordinarily bad idea, given the limited scope of those subsidies. Clearly, PPACA is required to cherish and expand Medicare. / reference Oberlander, Jonathan, The New England Journal of Medicine.The debating on the implementation of PPACA continues until now though PPACA has already begun implementation. Young Americans oppose the implementation of PPACA because they already wipe o ut health insurance, and they might spend more money if the federal government and states try to expand health insurance. The Institute of Politics of Harvard University questioned 2089 citizens aged 18 to 29 56% of those 18 to 24 disapproved of the Presidents melody performance 53% of those 25 to 29 disapproved and 47% maintain they would retract President Barack Obama if that were possible (Emord, Jonathan W. unseasoned AMERICANS TO OBAMACARE NOT INTERESTED USA Today, February 2014. 16). They bespeak that PPACA is primarily attractive to those who have been uninsured in the past and who digest from chronic or acute and costly diseases. It is likely that only those individuals will sign up for the program. Most of interviewees have already health insurance. They remember that PPACAs benefits will not affect them because they are already insured by some other way. Instead, those polled might think that they will have to pay the money that allows expanding health insurance thro ugh PPACA. Also, because PPACA does not object lens a specific population, money might be extravaganced in the allocation of funds in the federal governmental budget for PPACAs implementation. In his article The Future or Obamacare, Jonathan Oberlander argues that there is no fall out programmatic identity unlike Medicare and Social Security, PPACA does not have a clear-cut population of beneficiaries, and its benefits are diffuse. (Oberlander, Jonathan. The Future of Obamacare, The NEW ENGLAND journal of MEDICINE (2012). Furthermore, Texas and 15 other states assert that PPACA, with expansion of Medicare, should be reconsidered because it will raise state expenses. (Zwelling, Leonard. Obamacare Why Should We Care? Journal of Oncology Practice Vol .10, Issue 1 (2014). This is the close to difficult, prolonged assault, which the federal government and states should overcome for continuous implementation of PPACA. In spite of these debate opinions, PPACA should continue to go to the fore. First of all, nobody can assure that they will have enough insurance when they will need health care. In 1963, Kenneth J. Arrow wrote, incredulity AND THE WELFARE ECONOMICS OR MEDICAL CARE. In his article, Kenneth J. Arrow contended that health care manufacture could be explained with uncertainty in the incidence of disease. Namely, the reason why young Americans oppose PPACA implies that young Americans are literally young. Current situation can change suddenly the insurance is for risk and uncertainty. adduce Kenneth J. Arrow, UNCERTAINTY AND THE WELFARE ECONOMICS OF MEDICAL CARE, The American Economic Review, Vol cardinal December 1963 Number 5 941-973. to a greater extentover, PPACAs targeting to the universal population of the US is not a weak point, but a strong one. There are other countries with universal access and universal insurance such as Switzerland and Taiwan. Their types of insurance are similar to Medicare supplied by their government sort of of bei ng supply by private insurance companies. Surprisingly, while the United States spends 17% of its GDP on health care, Switzerland and Taiwan spends 11% and 7% respectively, of their GDP on it. Because PPACA is not completely enacted Act yet, addressing concerns over budget waste and discussing solutions are necessary to make PPACA move forward Reference Zakaria, Fareed, Time magazine, 3/26/2012. Last but not least, the federal government, not each state, will support the expansion of PPACA at a 100% level until 2017, a bit less later, then at 90% indefinitely after 2022(Zwelling, Leonard 12). For example, in Texas, for every $1 the state spends on health care for the poor, the US government matches $9 dollars. This in effect means that, during the first 10 years of the program in Texas (current Medicare program plus expansion) the federal government would increase payments to the Texas health care system by nearly $90 billion, whereas the state of Texass share would be $15.6 billio n. However, there are no specific plans after 10 years. More patchworks should be added in many holes of PPACA for its sustainable implementation.PPACA is not perfect yet, but its direction is right. Because PPACA can aid people with pre-existing conditions or uninsured people and can support Medicare, which may be endangered. The opponents argue that they have already health insurance, money might be wasted, or state expenses will be increased. PPACA, supported by the federal government, however, can justify peoples future health insurance. In the process of the implementation, although waste of the budget can occur, and PPACA does not have enough time to be revised, it can be getting better with continuous debating with many opposing views. Therefore, PPACA needs to go on in spite of several opposing opinions. flora citedArrow, Kenneth J. UNCERTAINTY AND THE WELFARE ECONOMICS OF MEDICAL CARE The American Economic Review LIII (1963) 941-973. Academic Search Complete. Web. 16 Oct 2 014.Emord, Jonathan W. YOUNG AMERICANS TO OBAMACARE NOT INTERESTED. USA TODAY Feb. 2014 16. PrintHealth Care that Works for Americans. the White House PRESIDENT BARACK OBAMA. The government of the United States of America, 2014. Web. 28 Oct. 2014Levy, Michael. Patient Protection and Affordable Care Act (PPACA). ENCYCLOPAEDIA BRITANNICA. Encyclopaedia Britannica, Inc., 2014. Web. 16 Oct. 2014Oberlander, Jonathan. The Future of Obamacare. New England Journal of Medicine 367.23 (2012) 2165-2167. Academic Search Complete. Web. 16 Oct 2014.Zakaria, Fareed. Health Insurance Is for Everyone. Time 26 Mar. 2012 22-23. Print.Zwelling, Leonard, and Hagop M. Kantarjian. Obamacare Why Should We Care? JOURNAL OF ONCOLOGY PRACTICE 10.1 (2013) 12-14. Academic Search Complete. Web. 16 Oct 2014.