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NUR 601 Week 2 Discussion 1: The Politics of Health Reform NUR 601 Week 2 Discussion 1: The Politics of Health Reform NUR 601 Week 2 Discussion 1: The Politics of Health Reform The Affordable Care Act truly proved has effectively decreased the uninsured American from the year of 2010 to 2014. According to Marchi et al.(2021), the uninsured population in California alone dropped 12% within the 4 years. In terms of the war between the two political parties is about political interest and financial diversion and distribution. In Cohn (2021)’s article, He reviewed how the politics and anger from unmet service satisfaction attempts to turn the tide of Obamacare despite the rate of uninsured American is plummeted to the lowest in the history. In order to understand the controversy, here is to analyze the center of argument between these two political parties from a financial and political point of view. In the financial point of view, the initiation of ACA requires a big financial budget which ultimately leads to increased taxation in American whose income is in the pot above the 400% poverty line. In addition, companies are mandated to purchase health plans for employees. This ending has been hurting the business revenue and wealthy people’s interest which most are the republicans supporters. The Democrats party is looking at the bigger picture as how the ACA can fund itself after the big cost initiation and ultimately reduce the total cost in Medicare and Medicaid. The democrats party also prefers not to raise tax on the poor who are already struggling in living. Increasing insurance premium or tax would only reduce food to the table. In the political/ideological argument about the role of the government versus the private sectors, democrats party aim for higher government control in insurance coverage assembly and resources distribution in order to mandate American’s adherence. With the law regulation, Insurance companies are prevented from refusing enrollment in the population who have pre-conditions. The unlimited raise in health care cost is also suppressed by the ACA. Without strong government control, this is unlikely to be compliant. The republican party disagreed on the strong government role in control of health care or any of the areas within the nation. It is also rooted from the financial part, the stronger the government control is, the less free trade and decreased chance of business profit growth which in another way hurts the republican interest. From the learning of the controversy in the ACA war and combining current political war between the two parties, I am amazed how the political fight shapes the American healthcare industry. From my background, I grew up in a society with a strong control of a single political party dominated government. In the government controlling issue, I have mixed feelings about it. At one point, I agree that strong government control can actually speed up the initiation and resource distribution. On the other side, a single government control can lead to corruption, uncontrolled compromise in quality and inhibition of business competitions which ultimately limits options for the population. To me the ideal way to increase insurance coverage is focusing on the affordability of health plans and universal coverage in wellness, emergency visit and prevention. There is another problem we are seeing in Massachusetts is providers anticipated hospitals. Patients are turned away when the insurance is not within the provider network and has caused delays in treatment. It will be helpful in legislation to clarify what type of urgent service should be under agreement to all health care providers regardless of health plans. I am hoping to see these two political parties be able to work together instead of passing a bill on its own, for the very time, in the consideration of the whole nation, work together, to make measures that really make America great again, not just an election slogan.   Initial Post Watch this week’s videos and read the assignments in preparation for this discussion. You are encouraged to seek sources beyond the Learning Materials in Week 2 in this assignment. While Republicans have not been unsuccessful so far in repealing the ACA, they have taken other steps to undermine it and have strongly opposed various Medicare for All proposals pending before Congress. Democrats have proposed improvements in the ACA, and some have proposed the adoption of a “public” health insurance plan or adoption of a Medicare for All plan. Using 500 to 750 words, write an initial post that describes the political alliances and positions by party and in the industry. In your analysis, include the financial arguments and the political/ideological arguments about the role of government versus the private sector changes that are intended to increase coverage. What do you think is the best way to improve health care coverage for all Americans? Why? Cite additional sources beyond the Learning Materials for this week. Replies Reply to at least two of your classmates. In your reply, include new information related to your peer’s initial post or to the topic. Each reply should be 200 to 400 words. You should cite one to two sources in your reply posts that add new information in response to your classmate’s post. Please refer to the Grading Rubric for details on how this activity will be graded. Posting to the Discussion Forum Select the appropriate Thread. Select Reply. Create your post. Select Post to Forum. This is a question and answer forum. In order to see other responses to these questions, you must first post your answer There are two main political parties that run the United States government: Democratic and Republican. These two parties have very different views when it comes to how things should be run in America, including health care costs. In recent years, America has been running with the Affordable Care Act (ACA) created by the 44th president Barrack Obama (Garfield, 2019). Democrats are in support of this act as it allows more Americans to obtain health insurance (Shi, 2019). Besides the ACA, democrats NUR 601 Week 2 Discussion 1 The Politics of Health Reform are also in support of the idea of universal coverage. Universal coverage would give every American health care coverage under a government-run health care system (“Necessity, Uncertainty, and the ACA,” 2020). The ACA loosened eligibility requirements for Medicare and Medicaid as well as penalizing those who remained uninsured (Shi, 2019). Republicans, on the other hand, want to repeal and replace the ACA. At the very least, they want to make changes to it such as implementing work requirements for Medicaid benefits(“Necessity, Uncertainty, and the ACA,” 2020). Another change they would like to implement is to throughout the provision of preexisting conditions affecting cost or access to coverage (Burns, 2020). Republicans are opposed to a single-payer system and prefer a free market, meaning health care services would be charged as goods like a profitable business (“Necessity, Uncertainty, and the ACA,” 2020). Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 601 Week 2 Discussion 1: The Politics of Health Reform In a perfect world, everyone would be covered under health insurance and receive quality care in a timely fashion. However, in reality, it seems as though we must choose between the two. For everyone to be covered under health insurance, it makes more sense for the health system to be run by the government. Yet, countries with universal coverage do not meet the quality of care that is given in the US.  And to receive quality and timely care comes at a price that people can receive with their private health insurance through employers or out-of-pocket costs. This would be a lovely way for everyone to be protected, yet, not everyone can afford the premiums required to pay in order to receive this type of coverage. Maybe the best route is to combine the two plans somehow. If there was a way to provide coverage for all Americans and have everyone share the costs, at a reasonable rate, that would be the best of both worlds. This plan would be difficult to implement as the hard-working Americans would not take kindly to paying more taxes in order to insure a stranger. We could take the Republican idea of requiring some type of work plan for those receiving Medicaid benefits and combine that with the ACA’s idea of expanding Medicaid eligibility. References: Burns, K. (2020, May 6). Trump still wants to get rid of the Affordable Care Act, even as Covid-19 rages. Vox. Retrieved from https://www.vox.com/policy-and-politics/2020/5/6/21249786/trump-wants-end-affordable-care-act. Garfield, R., Orgera, K., Kaiser Family Foundation, & Damico, A. (2019, Jan.). The Henry J. Kaiser Family Foundation, The Uninsured and the ACA: A Primer: Key Facts about Health Insurance and the Uninsured amidst Changes to the Affordable Care Act (PDF). Executive Summary and Introduction (pages 1 and 2), and Conclusion (page 18). Necessity, Uncertainty, and the ACA. (2020). The Personal Is Political, 123–137. https://doi.org/10.1163/9789004436329_013 Shi, L., & Singh, D. A. (2019). Delivering health care in America: A systems approach (7th ed.). Jones & Barlett Learning. Graduate Program in Health Administration Discussion Question Rubric Note: The value of each of the criterion on this rubric represents a point range (example: 25–20 points, 20–15 points, 15–10 points, 10–0 points). Discussion Board Rubric – 100 Points Criteria Exceeds Expectations Meets Expectations Needs Improvement Inadequate Total Points Quality of Initial Post Initial post is on time and of the correct length (500–750 words). All components of the initial post requirements are addressed. Course content synthesis is applied. References are included according to the Discussion instructions. 25 points Initial post is on time and of the correct length (500–750 words). Most components of the initial post requirements are addressed. Course content synthesis is applied but limited. References are included according to the Discussion instructions. 20 points Initial post is one day late. Does not meet the correct length (500–750 words). Some components of the initial post requirements are addressed. Course content synthesis is weak or missing. References are included but not according to the Discussion instructions. 15 points Initial post is more than one day late. Initial post much fewer than (500–750 words). Few components of the initial post requirements are addressed. Course content synthesis is missing. References are not included. 10 points 25 Peer Replies On time. There was substantial evidence and synthesis of course content utilizing course topics and the introduction of questions and new information. Replies are 200–400 words. References are included according to the Discussion instructions. 25 points On time. There was some evidence and synthesis of course content utilizing course topics and the introduction of questions or new information. Replies are 200–400 words. References are included according to the Discussion instructions. 20 points There was either some synthesis of course content or the introduction of questions or new information. Replies are less than 200 words. References are included but not according to the Discussion instructions. 15 points There was little or no evidence of course content utilizing course topics or the introduction of questions or new information. Replies are less than 200 words References are not included. 10 points 25 Frequency of Contribution Initial post with two peer replies posted on two separate days. 25 points Initial post with two peer replies posted on the same day. 20 points Initial post with one peer reply. 15 points Only initial post submitted or only replied to peers. 10 points 25 Organization, Writing Mechanics, and APA Format Clearly organized, no or limited writing mechanics and/or APA errors. 25 points Clearly organized, few to some writing mechanics and/or APA errors. 20 points Poorly organized, several to moderate writing mechanics and/or APA errors. 15 points Poorly organized, many writing mechanics and/or APA errors. 10 points 25 Total points 100 Order Now