Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050

Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050

Sample Answer for Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050 Included After Question

Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050

Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050

The Affordable Care Act (ACA) was enacted in 2010, and it considerably changed the U.S. health care landscape. The goals of the ACA were to make insurance coverage more affordable, reduce the number of uninsured, and expand access to care. To attain these goals, the ACA expanded eligibility for Medicaid and established new marketplaces where Americans without employer coverage could purchase policies directly from insurers (Oberlander, 2017). The ACA faced strong opposition from Republicans, who described it as unrealistic because it required every American to have medical insurance (Oberlander, 2017). When the Trump administration took power in 2017, the president and Congress members of the Republican Party vowed to replace the ACA. However, one year after taking office, Republicans could not agree on whether to repeal the ACA immediately, repeal right away and replace it later, or repeal it later after establishing a replacement strategy (Oberlander, 2017).  Although the Republicans repealed parts of the ACA, including the budgetary and fiscal provisions, they did not replace it.

The Senate Republicans’ failure to honor their promise of passing a bill to replace ACA, can be attributed to the unpopularity of this bill to the public. The legislators had to assess the political impact of repealing the ACA with no replacement on their chances of being reelected (McCarthy, 2017). They had to perform a cost-benefit analysis on the cost of repealing the ACA on the future chance of being reelected and the benefits of repealing it. For instance, if the Senate replaced the ACA right away, with no replacement, the number of uninsured Americans would increase drastically, which would be opposed by their voters (McCarthy, 2017). This would negatively affect the public view of the lawmakers on their constituents, and lower their odds of being reelected if they did not have a better plan to replace the ACA.  Besides, the cost-benefit analysis can explain why the Republicans had two canceled votes in March 2017 and had to introduce a new amendment to the American Health Care Act to unite the party behind the bill (McCarthy, 2017). The failure to replace the ACA as promised shows that lawmakers can be unwilling to support bills that are a potential threat to their election results in upcoming elections.

Legislative leaders’ decisions regarding recommending or positioning national policies are often influenced by their voters’ views. Voters are known to influence legislators’ policy choices and are at times forced to compromise their choices including partisan politicians (Pacheco & Maltby, 2017). Lawmakers have to consider their voters’ views before making a policy decision that affects their constituents to maintain a positive public image (Pacheco & Maltby, 2017). In the case the voters’ views contradict a legislator’s decision regarding a policy, the lawmaker is forced to compromise their position on the policy and move to the center.

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Failing to take the voters’ views can have negative consequences on the law maker’s future elections. Furthermore, to continue supporting and voting for a legislator in future elections constituents must remain convinced that their lawmaker is listening to them and consider their views (Pacheco & Maltby, 2017). For instance, members of congress had to assess the voters’ view on repealing the ACA provisions that would cut funding for Medicaid or change Medicaid to a block grant program. Since many Americans benefited from the expansion of Medicaid, it affected Congress’ decision to pass bills that would hinder their voters’ access to the program and ultimately affect their public image.

Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050 References

McCarthy, M. (2017). U.S Republican attempt to repeal and replace Affordable Care Act collapses. https://doi.org/10.1136/bmj.j3508

Oberlander, J. (2017). Repeal, replace, repair, retreat—Republicans’ health care quagmire. New England Journal of Medicine377(11), 1001-1003.

Pacheco, J., & Maltby, E. (2017). The role of public opinion—does it influence the diffusion of ACA decisions?. Journal of Health Politics, Policy and Law, 42(2), 309-340.https://doi.org/10.1215/03616878-3766737

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The ACA has been undeniably one of the largest polarizing political opinions of the last decade. It is something that every politician must state their opinion on due to the importance of its weight among voters. Legislators must take the popularity of these bills into account when developing a stance, which means understanding who it effects, who supports it, and how the majority of their state stand on the issue. Despite the fact that the ACA was at its core a bipartisan bill headed by a Republican, leftist additions and the fact that it was eventually passed by a Democratic president have solidified it as a leftist ideal.

The Repeal and Replace act showed that only a vast minority (17%) of Americans supported the bill and even among Republicans the support was just around 40%. However, Republican Legislators were willing to push forward with it for a couple of reasons. The first being that Republicans are polled as having a strong us-vs-them mentality, giving Republican legislators safety in knowing they won’t lose voters over their support of the bill, which follows that Republicans are more likely to vote against their own interests in order to maintain their political identity. This was evidenced by the Medicaid Expansion repeal in Ohio where it was Republican support that terminated the expansion, which ironically the majority of those who lost access to healthcare identified as Republican (Seiber, 2017). Second, Republican Legislators tend to gain more connections and funds through their hardlined supporters meaning that it can be more beneficial to maintain popularity among the few rather than the majority (Hacker, 2018). Leftists on the other hand face the issue that their voters tend to be more scrutinizing, where even in areas that Democrats have a clear majority, they must maintain ideals that are popular among leftists and being bipartisan can be fine line to walk.


Hacker, J. S., & Pierson, P. (2018). The Dog That Almost Barked: What the ACA Repeal Fight Says about the Resilience of the American Welfare State. Journal of Health Politics, Policy & Law43(4), 551–577. https://doi.org/10.1215/03616878-6527935

What’s Happening. Aca Repeal Would Create Chaos for the Disability Community. (2020). Exceptional Parent50(11), 7.

Seiber, E. E., & Berman, M. L. (2017). Medicaid Expansion and ACA Repeal: Evidence From Ohio. American Journal of Public Health107(6), 889–892. https://doi.org/10.2105/AJPH.2017.303722

The Patient Protection and Affordable Care Act and politics

Divided politics and divisiveness have made it difficult for American leaders to reconsider long-delayed healthcare reforms. Some argue that the current healthcare system under the Affordable Care Act is cost-effective. For a program to be cost-effective, its benefits must outweigh the costs associated with its implementation, according to a cost-benefit analysis (Milstead & Short, 2019). The Act provides healthcare services to the vast majority of residents; therefore, repealing it could result in legislators losing electoral support.

Some political leaders believe that if the Affordable Care Act is repealed, a large number of people will lose their health-care coverage (Hagan et al., 2017). There is also concern that repealing the Act will result in a significant loss of employment due to fewer people having access to insurance coverage. For example, if the Act is repealed, a large number of people who obtained insurance through the Affordable Care Act will lose it automatically. Many Americans will become uninsured as a result of the loss of Medicaid coverage for millions of low-income earners. This will have an impact on their ability to access and afford healthcare treatments.

According to Feldstein, legislators are unlikely to support repealing the Affordable Care Act. This is because, according to a cost-benefit analysis, legislators will only support a legislative initiative that benefits them more (Feldstein, 2006). According to this logic, repealing the Affordable Care Act is unlikely because it would be detrimental to the American people. This is demonstrated by the fact that, despite President Trump’s efforts, he has been unable to repeal the Act. Even when Republicans controlled Congress, they were unable to muster the necessary support to overturn the law. In this case, the advantages of the coat (political support) outweigh the disadvantages (losing political support). As a result, they are unlikely to support the repeal.

Individuals, regardless of political orientation, frequently get anxious when they contemplate the government’s perceived competing interests and their impact on issues of personal interest. Healthcare is no exception. Certain individuals believe that municipal, state, and federal policies and legislation can be aided or harmed by interests other than the greater good of society.

Consider that the primary responsibility of a legislator is to be re-elected. Costs can be expressed in both votes and dollars. Thus, it is critical to examine the legislator’s position while deciding whether to support or oppose a certain effort in the political scene.

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Politics and the Patient Protection and Affordable Care Act SAMPLE

Politicians’ main interest is to be re-elected to continue maintaining their political positions. The interest of being reelected every campaign has greatly impacted the policymaking process. Politicians would rather support what looks good in the eyes of people to ensure they do not lose quorum (Milstead & Short, 2019). Since President Trump became the president of the United States of America, he has been against the Affordable Care Act. As a result, he has tried to repeal the policy but the efforts have failed. President Trump’s administration has not given up since many trials to repeal the Affordable Care Act are expected. Most probably, the repeal trials have failed so that politicians can safeguard their likelihood of being re-elected. This paper explains how the cost-benefit analysis in terms of legislators being re-elected affected efforts to repeal/replace the ACA. It also explains how analysis of the voter views may impact politicians’ recommendations about the Medicare Prescription Drug Savings and Choice Act of 2019….

RE: Discussion – Week 3


Similarly, like many of my classmates, I had no idea what a cost-benefit analysis (CBA) was, and in order to answer this week’s discussion question, I had to first research the definition of CBA. CBA is a method of comparing the costs and benefits of a monetary intervention. I was able to apply this concept to legislators and their relationship with the Affordable Care Act (ACT) in the hopes of re-election. The ACA was signed into law in 2010 with overwhelming Democratic Party support and without a single vote from the Republican Party. H.R. 3590 became law in 2010 with 60 votes in favor and not a single conservative vote (Patient Protection and Affordable Care Act, 2009). In terms of their chances of re-election in future elections, this was a watershed moment for democratic legislators.

In order to be re-elected, legislators must weigh the benefits and drawbacks of supporting repeal/reform of the ACA. A legislator must decide where they stand on a topic that is fair to both sides of the political aisle and the people they represent. If they are either too conservative or too liberal, they should be prepared to lose those votes in the next election. The decision will be difficult for any elected official seeking re-election. Physicians and other health care professionals have traditionally been the largest source of federal campaign contributions within the health care sector; however, when comparing the dollars coming from physician-related entities as opposed to significantly less than the amount given to physician groups (Milstead & Short, 2019, p 45), it plays a role in which way a legislator may lean when there is monetary loss or gain to influence them. When it came to repealing the ACA, deciding which side to take was a tricky balance of monetary reward and possible re-election or loss of re-election and financial support.

Voters are the backbone of legislators who are up for re-election. Voter attitudes, which are frequently captured in polls, influence legislative decisions and policy positions. One surprising example I saw was a Kaiser Family Foundation poll that found a large majority of the public did not want the ACA repealed, including a majority of Democrats (91 percent), independents (81 percent), and Republicans (66 percent), but three-fourths of Republicans still want the entire law repealed (Kirzinger et al, 2020). Voter preferences influence whether legislators support policies or oppose them in the hope of re-election.

This year marks the tenth anniversary of the Affordable Care Act, which has been the subject of litigation since its inception and will continue to be scrutinized as legislators debate who has the better plan to protect the American people. On November 10, 2020, the Supreme Court will hear a case involving the complete repeal of the ACA, which will affect millions of people, including those with disabilities and pre-existing conditions. The American College of Physicians (ACP) emphasized that the ACA is critical to the operation of the United States’ health-care system (Inserro & Melillo, 2020). Legislators will not only listen to their constituents’ opinions, but will also rely on the expert knowledge of key players such as the ACP and the American Nurses Association to guide and educate them on the importance of health care legislation. President Trump signed an executive order ensuring that people with disabilities will not be denied coverage, but experts say it will be meaningless if the ACA is repealed. Legislators run for office to serve the American people, and if they hope to be re-elected, they must strike a balance, which can be a difficult task for them. According to Forbes, 55% of respondents view the ACA favorably overall (Forbes, 2020), and conservatives, while still in favor of repealing the ACA, have begun to change their stance on the ACA with one goal in mind.

Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050 Resources

Inserro, A. & Melillo, G. (2020). Supreme Court Signals Willingness to Uphold ACA. AJMC. Retrieved from Supreme Court Signals Willingness to Uphold ACA (ajmc.com)

Durkee, A. (2020). Poll: Most Americans Don’t Want Supreme Court To Overturn Affordable Care Act. Forbes. Retrieved from Poll: Most Americans Don’t Want Supreme Court To Overturn Affordable Care Act (forbes.com)

Kirzinger, A., Lopes, L., Kearney, A., & Brodie, M. (2020). KFF Health Tracking Poll-October 2020: The Future of the ACA and Biden’s Advantage On Health Care. KFF. Retrieved from KFF Health Tracking Poll – October 2020: The Future of the ACA and Biden’s Advantage On Health Care | KFF

Milstead, J. A., & Short, N. M. (2019) Health policy and politics: A nurse’s guide (6th ed) Burlington, MA: Jones & Bartlett Learning

Patient Protection and Affordable Care Act, H.R. 3590, 111th Cong. (2009). H.R. 3590 (111th): Patient Protection and Affordable Care Act — GovTrack.us

Testimony/Advocacy Statement

Good afternoon.  My name is Erin Littlepage, and today I will be discussing the importance of passing the H.R.4769 bill, also known as the Medicare Prescription Drug Savings and Choice Act of 2019.  Compared to other highly developed countries with decent healthcare, the United States has substantially higher prices for the cost of drugs.  There are many bills that have been introduced to the House of Representatives in order to combat these high prices that we as Americans face every day, and the Medicare Prescription Drug Savings and Choice Act of 2019 bill is especially important.

Under the current administration, as of December 18, 2019, Donald Trump has announced plans to allow states to purchase prescription medications from Canada to help lower the costs of Americans purchasing their medications.   The fact that our medications are so expensive, we must go to another country to purchase prescription drugs is a disturbing fact.  However, if the plan goes into action, the Medicare expenses will be lowered from state to state which would be a huge push in the right direction of lowering our prescription drug costs (Williams, 2019).

There are opponents to the bill, unfortunately.  Large drug companies must increase the prices of medications in order to make a profit for themselves.  This does not benefit the American consumer, however.  So many Americans fail to take their medications as prescribed by their provider because they do not have the money to pay for them.  I have worked on Medical Surgical units for my entire nursing career, and the amount of admissions and readmissions based on the mere fact that the patient cannot afford their drugs, and come in with acute symptoms that could be regulated with medication administration, is astounding.  While it appears as if the pharmaceutical companies will just continue increasing their drug prices, I think the only way to address these opponents is to have this bill and other bills related to drug pricing passed to Congress and have them take strong action to manage the issue.

An amendment I would propose in regard to this bill, is laid out in the Medicare Drug Price Negotiation act, which would allow the secretary of Health and Human Services to negotiate drug prices for drugs under Medicare.  This in turn, would lower drug prices.  Currently, the secretary of HHS is not permitted to negotiate on pricing so they must accept the numbers given by the pharmaceutical company.

In conclusion, the high prices of medications will continue to be an issue nationwide as long as Congress sits back and allows pharmaceutical companies to take advantage of innocent Americans.  The Medicare Prescription Drug Savings and Choice Act of 2019 will allow the Center for Medicare and Medicaid Services to negotiate with pharmaceutical companies to keep pricing reasonable for drugs and offer alternatives medications that are of equal value, but of lower price.  These companies have time and time again shown their greed, and that a profit is more important than the life of American citizens.  This issue is long overdue to be solved and will continue until Congress takes a stand, starting with the passing of this bill and others related to the issue.

RE: Discussion – Week 3


When new topics of interest rise to the government level and grasp the attention of legislators it is important that they factor in cost, voters’ interest, and reelection when making their decision. The same is expected when legislators are faced with the duty to repeal or replace a bill. In regards to the Affordable Care Act (ACA) analysis must be drawn considering whether its existence or its eradication is in favor of the legislator. Researchers projected that the affordable care act reduced health care spending a total of $2.3 trillion (Emanuel, 2019), benefiting millions of Americans and depending on which part of the spectrum you fall (democrat or republican) this may or may not be favorable numbers. For decades the basis of the Democrats’ campaign was the fight for security in healthcare for Americans and are commented on preserving and protecting the ACA (Democrats.org, n.d.). The projected savings for healthcare and the grand number of persons benefiting from the ACA favors cost control and proves beneficial in cutting costs for American citizens and the Government at large.

On the other hand, the republicans oppose the ACA and have vowed to repeal it, arguing that less than 50% of Americans benefit from it (Dalen, et al., 2015). They have strategies thru TV ads shaming and discrediting the ACA as a way to turn Americans against it and secure trust in Americans that they can provide better for them in hopes to secure the majority of votes.

Buettgens, et, al. (2016) in their article “The cost of ACA repeal” states that repealing the ACA would reduce federal government spending on health care for the nonelderly, which appears to be one of the goals of those advocating repeal, by $90.9 billion in 2021 and $927 billion between 2017 and 2026. However, a repeal would also mean more persons would become uninsured, State spending would increase by $68.5 billion between 2017 and 2026 as reductions in Medicaid spending would be more than offset by increases in uncompensated care (Buettgens, et, al, 2016). This is where legislators must make a decision based on the best interest of their constituents, as they are the ones responsible for reelecting them. Also, one must take into consideration; is repealing the bill going to save the government money or in the end, cost them a lot more.

Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050 References

Buettgens, M., Blumberg, L., Holahan, J., & Ndwandwe, S. (2016). The cost of ACA repeal. Retrieved December 16th, 2020 from


Dalen, J., Waterbrook, K., & Alpert, J. (2015) Why do so many Americans oppose the Affordable Care Act? American Journal of Medicine, 8(8), 807-810,

doi: 10.1016/j.amjmed.2015.01.032

Democrats.org. (n.d.). Healthcare: Democratic party platform. Retrieved December 16, 2020 from


Emmanuel, E. (2019). Name the much-criticized federal program that has saved the U.S. $2.3 trillion. Hint: it starts with Affordable. Retrieved December 16th, 2020 from



Impact of Legislation Within the Affordable Care Act

The Affordable Care Act while seemingly to be a good way for Americans to have health coverage did have its flaws. To name a few positives to the ACA it covered 10 essential health benefits, let children stay on health coverage until 26, gave coverage to preexisting conditions, and helped slowed the rise of health care cost, but did not seem to work. However, it did also have some negatives. Raised the income tax, taxed individuals who did not have health insurance, and people were losing their private insurance through their companies (Amadeo, K. 2019). “To start higher costs, cause more healthy people to drop coverage, which raises prices even more, and the cycle continues. In May 2017 the Department of Health and Human Services reported that average health insurance premiums doubled since 2013.

How many families’ incomes doubled over that same period? In 2018 costs have risen by another 19 percent for high-cost plans and 32 percent for the cheapest plans, according to a study by the Urban Institute. Overall inflation for all other goods and services are running at 2 percent” (Moore, S. 2018). Whichever side of the political party you stand on. Americans do not want to lose money and see less in their paycheck. If you decided to not want health insurance the ACA would take it out of your taxes regardless. When private health insurance companies decided to drop their coverage for employees due to it being cheaper to pay the tax rather than insure workers. People were advertantly paying more for the ACA than what they previously had with their employer.

In 2018 the democratic party regained control of the House of Representatives. One key aspect to there success was the Affordable Care Act and that patients with preexisting conditions would not be singled out and that the majority of Americans were in favor of Obamacare “The rising public support for Obamacare was a winner for Democrats in 2018, and they want to capitalize on that going into 2020” (Cancryn, A. & Ollstein, A. 2019). In terms of affecting legislators for reelection and obtaining votes. I believe that the ACA can most certainly be affected by lobbyist and voters. If I were a legislator and I wanted to be reelected, then I would surely pick my decision based on what my majority of voters wanted. If they wanted to see more money in their pockets and have their own choice to have or not have coverage, then I would most certainly pick to repeal. If my voters wanted to have coverage whether that meant spending more but still having the 10 essential health benefits that ACA offered, then I would have chosen to replace Obamacare. “For legislatures to be good, they must carry out the functions we expect of them in our system of representative democracy. The principal ones are balancing power, representing constituencies and making laws” (Rosenthal, A. 1999). A legislator works for the people not themselves. It is their job to do what the people of their district want of them. To obtain the votes they have to please the people.

Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050 References

Cancryn, A., Caygle, H., Rachael, Ferris, S., & Levine, M. (2019, January 4). Democrats won

the House on Obamacare. Here’s how they plan to defend it. Retrieved from


Rosenthal, A., & Smith, E. (1999). NCSL State Legislatures magazine, July/August 1999.

Retrieved from https://www.ncsl.org/research/about-state-legislatures/the-good-legislature.aspx

Moore, S. (2018). 8 Reasons to Still Hate Obamacare. Retrieved from


Amadeo, K. (2019). Pros and Cons of Obamacare. Retrieved from


Politics, Patient Protection, and Affordable Care Act Discussion

Irrespective of the political affiliations, there is always an increasing concern among individuals when they consider the perceived competing interests of the government and how they impact topics that are of interest to them. Generally, a policy that is created and implemented for healthcare purposes mostly impacts the nurses and patients. However, speaking of who benefits the most from the developed policies, it all boils down to the person-in-charge of the legislation.

According to Milstead and Short (2019), “…policymakers do not necessarily focus on how the changes will affect the people, but rather on how they will affect their chances of re-election.” An example is President Donald Trump who began his term with the Republican house immediately bringing up a repeal to Medicare/Medicaid and the ACA. They described it as a “… a law that has long been a thorn in their sides” despite the estimated 20 million people who have gained health coverage courtesy of the Affordable Care Act (Milstead and Short, 2019). In this case, repealing this Act will leave so many people without health coverage. However, the act of making this as his first decision as the president, for all the people that voted in his favor, and were strongly in support of this law, would in a strong way hold onto this moment and later vote for him again when his term elapses. Spending by the outside groups constituted 14.9% as of 2019, which was an increase of about 5% compared to 2010 (Milstead and Short, 2019). On the other hand, the individuals who are part of the large corporations or belong to organizations that belief in the new ACA reforms will supply more funds into this campaign.

Legislators are rational and make cost-benefit calculations in light of demanded legislation (Feldstein, 2006). Moreover, the cost-benefits calculations being made are not to the society, but to the additional political support that the legislator may receive from supporting that particular legislation when compared to the lost political support that they may incur from their actions (Feldstein, 2006). If the benefit (positive political support) outweighs the cost (negative political support), they will support the legislation.

The voters’ views can also affect the decision by legislators to recommend or position national policies as evident from the repeal of the ACA which has been passed without any republican signatures and is now being challenged (Laureate Education, 2018). Such impacts on ACA provisions affect adults with Medicaid coverage under the ACA rules due to the legislators. Re-election for expanding Medicaid includes the elimination of Medicaid funding, subsidies, and a loss of consumer protection. The result is a repeal of the legislation to makeover the gap brought by congressional effects and government preferences.

The analysis of votes helps to reveal issues and help the legislators when making policy choices. The outcome is for the public to limit their options once a leader’s policies are adopted. This is evident when comparing the potential loss of coverage, the associated benefits of repealing the provisions of financial assistance, and the Medicaid coverage that opposed the repeal. This affects the decisions that Congress has to make and how they impact Medicare and Medicaid coverage policies.  There is always a method behind how all the decisions are made and I believe a strong consideration is made on how the decisions will impact the future votes.

Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050 References

Feldstein, P. (2006). The Politics of Health Legislation: An Economic Perspective. Chicago, IL: Health Administration Press.

Laureate Education (2018). Introduction to Health Policy and Law with Joel Teitelbaum [Video file]. Baltimore, MD: Author

Milstead, J., & Short, N. (2019). Health Policy and Politics: A Nurse’s Guide. Burlington, MA: Jones & Bartlett Learning.

RE: Discussion – Week 3


Sample Answer for The Assignment: Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050

Title: Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050


               Thank you for your informative post. The whole cost-benefit analysis idea that concerns the re-election of the legislators and pursuing a particular regulation is an unfortunate reality. Sadly, this is something that I could say inevitable because of the fact that winning an election or re-election can be very expensive. According to Milstead and Short (2019), “the campaigning for the average U.S. Congress House seat in the 2016 election cost $1 million while campaigning for the average U.S. Senate seat cost tens of millions of dollars”. For the legislators to successfully win for re-election, they will need financial resources, usually from wealthy individuals or special-interest groups who would be willing to invest; however, it is expected for these individuals to be able to get something beneficial in return, the repealing of the Affordable Care Act for instance. During this coronavirus pandemic, ACA has become a massive help for millions of people who have lost their employer-sponsored insurance (ESI). It is because of this law why “many of these newly unemployed Americans who previously were covered by employer-sponsored insurance are able to get health coverage, either through the ACA marketplaces, possibly with financial assistance to make their coverage more affordable, or via Medicaid expansion” (Rapfogel & Gee, 2020). Even with the desire of the legislators to make an acceptable policy for the goodwill, they will have to give thoughts about their financial resources’ input about the repealing.

                 I also agree with what you said regarding the analysis of votes as a way to reveal issues and help the legislators in policymaking. After all, these same voters are the ones that they should be serving and should be listening to. I believe that this is how good governance should be.

Discussion: Politics and the Patient Protection and Affordable Care Act NURS 6050 References

Milstead, J. A., & Short, N. M. (2019). Health policy and politics a nurse’s guide (6th ed.). Jones & Bartlett Learning.

Rapfogel, N., & Gee, E. (2020, June 24). The health care repeal lawsuit could strip coverage from 23 million americans. Center for American Progress.

               Retrieved September 17, 2020, from https://www.americanprogress.org/issues/healthcare/news/2020/06/24/486768/health-care-repeal-lawsuit-strip-coverage-23-million-americans/


Health Policy and Politics: The Affordable Care Act (Obama Care) 

The Affordable Care Act also known as Obamacare which was signed into law in 2010. Its purpose is to extend health insurance coverage to uninsured Americans. The Act requires more insurance companies to cover at no cost to policyholders a list of preventable services like checkups, patient counseling, immunization, and so many health screenings (hhs,gov, n.d.). The most notable part of the Affordable Care Act was the individual mandate, which required all Americans to have healthcare coverage either through their employer or through the ACA. Since the inception of the Affordable Care Act, Republicans have been working tirelessly to repeal and replace the ACA. President Donald Trump ran on repealing and replacing the ACA, and has not backed down since taking over office. Trumps’ administration has substantially scaled back its outreach program to help Americans sign up for the ACA and has cut the enrollment period in half, rolling back the law was one of Trump’s campaign promises aimed at reducing the fiscal burden on the government (investopedia.com, 2019). President Trump’s actions in an effort to repeal the Affordable Care Act have hurt the chronically ill, the cost of healthcare has risen and premiums have gone up, he signed an executive order in January 2017 to waive, defer, grant exemptions or delay the implementing parts of the Affordable Care Act individual mandate eliminated, ended the cost-sharing reduction subsidies to insurers. The administration stopped paying subsidies in 2017, slashed funds to facilitate healthcare.gov sign-ups. 

      The Affordable Care Act helped Republicans flip the house in 2010, then aided Democrats in retaking control in 2018 because voters cared more about who will guarantee them affordable healthcare. Democrats made GOP effort to scrap Obamacare the centerpiece of their campaigns in 2018 and won back the chamber, The ACT has become more popular since President Trump took office after facing early backlash to the healthcare law (cnbc.com, 2019).  

                                                                        Analyses of How Voters Affect Legislative Decisions 

Legislators want to remain in office or at least leave the office on their own terms. In order to be re-elected, legislators must be aware of both political climate and votes that will affect their ability to stay in office over the past decade. Health care policy has become increasingly central to Americans politics. The Affordable Care Act (ACA) dramatically change the U.S health care landscape. The law expanded eligibility for Medicaid and created new marketplace where people without employer coverage could buy health coverage from insurers (rand.org, n.d)  


CNBC.com. (2019). A decade of Obamacare: How Health Care went from wrecking to boosting Democrats. Retrieved from 

     https:// https://www.cnbc.com/2019/12/26/how-obamacare-affected-democrats-in-presidential-elections.html 

HHS.gov. (n.d.). About the Affordable Care Act. Retrieved from 


Investopedia.com. (2019). Affordable Care Act (ACA). Retrieved from 


Rand.org. (n.d). The Future of U.S. Health Care: Replace or Revise the Affordable Care Act? Retrieved from 


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