The document discusses the Affordable Care Act (ACA) and debates around repealing or replacing it. It notes that the ACA expanded access to insurance through Medicaid expansion and subsidies. However, Republicans have sought its repeal for various reasons. Repealing the ACA could leave millions uninsured and increase costs for governments and individuals. There are disagreements around the best path forward regarding healthcare policy and funding in the United States.

1. week3 discuss 6050
Melissa HinkhouseWeek 3-Original PostNURS 6050: Policy and Advocacy for Improving
Population HealthWalden UniversityIn 2010 The Affordable Care Act (ACA) was enacted;
the hope was to expand access to medical care, make coverage more affordable, and
decrease the number of people without medical insurance. The Affordable Care Act (ACA)
expanded and improved health insurance coverage in two primary ways. First, the number
of individuals receiving insurance coverage grown by increasing access to coverage through
Medicaid expansion and providing subsidies to purchase private insurance on the health
care exchanges. Second, the ACA upgraded the quality and scope of coverage by improving
benefit design, including implementing the essential health benefits (Willison & Singer,
2017). People who did not have coverage through their employer or Medicaid were
required to purchase insurance through the Marketplace. The Marketplace was created as a
one-stop-shop for people to view multiple plans and purchase insurance. Just because you
have access to health care insurance does not mean you are going to receive quality health
care (Teitelbaum, 2018). Both parties have asked that the ACA be repealed or replaced for
multiple reasons. Every Republican presidential candidate for 2016 has called for the repeal
of the ACA. Some, but not all, Republican candidates have proposed health policies that they
would like to put in place after repeal, but there is no broad agreement on a replacement for
the ACA (Buettgens & Blumberg, 2016). The federal government would spend $90.9 billion
less on health care for the nonelderly in 2021 if the ACA were repealed (Buettgens &
Blumberg, 2016). State governments as a whole would spend $5.2 billion more on health
care for the nonelderly in 2021 if the ACA were repealed (Buettgens & Blumberg, 2016).
Healthcare is a priority to many Americans for obvious reasons; it was more costly for those
with preexisting conditions before the ACA to obtain Medical Insurance. With the ACA the
income guidelines for Medicaid where changed so additional people qualified that didn’t
prior. As a Behavioral Health Nurse, I am a fan of anyone and everyone having access to
Healthcare Services. I have seen to many times my patient not have the money for their
medications because insurance was canceled so they go off their medications, they become
unstable and ended up in the Emergency Department and admitted Inpatient, costing more
money, hurting themselves and their loved ones.Politicians are aware that election time is
the best time to play the tug of war game with the heavy ticket items to capture someone
votes. Republicans ran hard on promises to get rid of the law in every election since it
passed in 2010. But when the GOP finally got control of the House, the Senate and the White
House in 2017, Republicans found they could not reach agreement on how to “repeal and

2. replace” the law (Kaiser Health News, 2018). And political strategists say that, when the
dust clears after voting, the numbers in the Senate may not be much different, so change
could be hard there too. Republicans, even with a small majority last year, could not pass a
repeal bill there (Kaiser Health News, 2018). When it comes to voting, it is hard for some to
know the different facts from fiction, political talk, and actual context that can be followed
through. It can be frustrating but needed to research why a candidate is saying something
and if he has the means to make a change. It can be time consuming to research through the
political propaganda, but worth it for the issues at hand.ReferencesBuettgens, M.,
Blumberg, L. J., Holahan, J., & Ndwandwe, S. (2016, June). The Cost ofACA Repeal. Urban
Institute | Social and Economic Policy Research.
https://www.urban.org/sites/default/files/publication/81296/2000806-The-Cost-of-the-
ACA-Repeal.pdfKaiser Health News. (2018, November 2). The election’s impact on health
care: Some bellwetherraces to watch. Health Leaders.
https://www.healthleadersmedia.com/elections-impact-health-care-some-bellwether-
races-watchLaureate Education (Producer). (2018). Introduction to Health Policy and Law
with Joel Teitelbaum [Video file]. Baltimore, MD: Author.Willison, C. E., & Singer, P. M.
(2017, August). Repealing the Affordable Care Act essentialhealth benefits: Threats and
obstacles. PubMed Central (PMC).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5508159/Lilia RoyDiscussion Week
3 Repeal or Replace the Affordable Care ActAffordable care has been a topic that has a long
history of wishing that we can all have medical insurance and be able to have great doctors
and excellent services for very little money. The cost of Medicaid in the United States
continues to rise every day. Many people cannot afford not to have medical insurance, but
many cannot afford medical insurance. The fact that there are so many people that live in
poverty lines and must accommodate the use of medical insurance is either by state services
such as Medicaid, which has been a good thing since 1960 (Milstead & Short, 2019). The
Obama Administration has tried to implement a reform of insurance for the past eight years
of his presidency. Still, many think it was just an expansion to Medicaid services, which
many people did not like the idea that they lost their doctors that they wanted. He
promised that people would keep the same plan and doctor, which he did not factor in that
many doctors were not going to accept the proposal he offered. Many doctors left their
private sectors due because of this. They were going to have to see more patients for less
money. Another thing it put pressure on small businesses that they had to aid their
employees to have medical insurance, which many can pick packages that were not good if
they wanted the cost to below so they could stay in business. Providing this insurance for
employees created an extra expense for small companies, and many had to reduce their
personal. What studies saw it was that even people with insurance did not seek medical
care which was not what they wanted to seePolitics plays a huge role in selling a need and
targets the idea for elections and for them to win. The Obama administration sold the plan
of care for all with no evidence data, which millions of Americans enrolled for insurance for
the first time in history. Obama stated that the republicans have not idea how to repeal the
ACA with no plan to replace the health care issue (Obama, 2017). The Trump
administration has good intentions, but no plan on how to implement the ideas due to the

3. people that will benefit is business and the wealthy that will not have a problem with the
yearly cost of health care. Trump wants to be able for people to choose their coverage, and
some of the same things, such as preexisting medical care, will not be punished or pay
more. His goal is to create a patient health care system that promotes choice and quality
(Glied & Jackson, 2017). They also will keep kids covered until the age of 26, which they
complete school. Most of the repeal is going to cost billions of dollars to replace. It is going
to leave millions of people without insurance and health care. It’s going to increase the
national debt, and we all still have no clue how to fix it. The idea of creating a socialist
system of health care might work, but people that would lose their choice of care providers,
doctors, hospitals, and patient care. We are going to see the care that will diminish due to
no incentive if a doctor sees three patients or ten per day he or she will be earning the same
amount of money. I see this in the Tricare system many providers do not perform the same
volume of surgeries due to he is going to get the same amount of money he is not paid per
case he is paid per salary. I have both care systems I have Tricare, and I purchase my health
care. I have both many people tell me why, but I have to. My daughter has many needs that
sometimes Tricare will not cover or will not have my choice of a doctor, so I prefer to have
options for her due to she requires nothing but the best care for her Autism. I do not want
her just to see someone once a month. She needs individual attention to weekly providers
such as speech pathology and occupational therapy. I do not see anything resolved is such a
huge debate of who is right and what is fair. ReferencesGlied, S., & Jackson, A. (2017). The
future of the affordable care act and insurance coverage. American Journal of Public Health,
107(4), 538–540. Retrieved June 15, 2020, from
https://doi.org/10.2105/ajph.2017.303665Milstead, J. A., & Short, N. M. (2019). Health
Policy and Politics (6th ed.). Jones and Barlett Learning books.Obama, B. H. (2017).
Repealing the ACA without a replacement—the risks to American health care. Obstetrical &
Gynecological Survey, 72(5), 263–264. Retrieved June 15, 2020, from
https://doi.org/10.1097/ogx.0000000000000447