The Patient Protection and Affordable Care Act was invented to reduce the number of uninsured individuals, make healthcare coverage affordable and expand the accessibility of healthcare services to all Americans. The affordable care Act developed new approaches to reduce healthcare costs and improve the quality of the services. The policy further devised new methods that cut hospital payments and new payment delivery models. However, the invention and execution of the Affordable Act had varied impacts on the social, political, ethical, legal and economic spheres of America.

The USA taxes pay the Affordable Care Act provisions.  The federal government takes responsibility in spending all the Medicaid expansion bills for the first years. It is projected by 2020; the state will pay about 10% of the total costs for the Medicaid newly eligible members. The government spending as such has increased on healthcare the funds that could have been invested in the broader economy (Sorrell, 2014). However, socially, The Affordable Care Act has resulted in reduced mortality rates, has brought affordable and access to quality medical services to all and improved health standards at large. Politically, the policy has instigated debates among the Republicans in both houses arguing that Medicaid match occurs at faster rates than considering the Medicaid base rates. The congressional representatives want compromised rates between base and higher rates (Mason et al., 2016). Ethically, The Affordable Care Act has enabled the Americans to share medical costs, given the American freedom of choice of the medical facilities and services to receive and the quality of the services they are entitled.

References

Mason, D.J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Policy & Politics in Nursing and Health Care, 7th Edition, ISBN: 978-0-323-24144-1, St. Louis, Missouri, Elsevier

Sorrell, J. (2014). Ethics: the Patient Protection and Affordable Care Act: ethical perspectives in 21st century health care. OJIN: The Online Journal of Issues in Nursing, 18(1).

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