Health Reforms Discussion - Academia Essay Writers

Health Reforms Discussion

Health Reforms Discussion

Health Reforms Discussion




– minimum of 150 words or more

– strong academic writing / APA style 7th ed (please use in-text citing and References with hyplerlink)

– must be scholarly articles only no older than 5 years or website that is gov/ org. no blogs

– please be original writing ( will check for plagiarism ).


Previous health reform efforts failed because of the difficulty it represents (Teitelbaum & Wilensky, 2017). Health reform often refers to changes that seek to reduce the number of insured individuals and families. It can also address other factors such as medical errors, patient rights, and confronting the rise in insurance. However, the main factors as to why it is so challenging to achieve health reform are culture, the U.S political system, interest groups, and path dependency. The culture in the U.S lacks any consensus about health reform, delaying attempts in creating universal coverage. Also, Americans oppose government solutions to welfare problems, health reforms that rely on government-run programs, and public funding through tax increases. The U.S. political system is responsible for the social welfare programs, and it varies from state to state. However, the federal government continues to have advantages in using resources over the states, and our country prefers to support a Medicaid program than the federal-run program. Interest groups represent the members’ interests in policy decisions; they gain the ear and influence of politicians who vote on issues important to the interest group. Regarding health reform, interest groups have often been against it, mostly when representing employers and businesses. Finally, path dependency describes the particular way of doing things and how they become the norm, thus making it difficult to change its path (Teitelbaum & Wilensky, 2017).

As discussed earlier, because of the U.S culture, there were many attempts in proposing, let alone passing universal coverage. The effort at national health reform succeeded because the Democrats have pushed for universal coverage for decades. Republicans, on the other hand, wanted to focus on lowering taxes and government spending as well as pushing for health care accountability in the hands of the states, not the federal government (Levitt, 2021).

Social factors that contributed to the Affordable Care Act’s passage include family structure (Campbell & Shore-Sheppard, 2020). Before the ACA was implemented, marriage was a way to gain health insurance from the spouses’ employer, primarily if their employer did not provide or sponsor insurance. Another social factor contributing to ACA is the impact on vulnerable populations because, before ACA, many were uninsured, populations with low-income, low-education, and minority groups. A political effect would impact individual-level behavior and attitudes (Campbell & Shore-Sheppard, 2020). This refers to those who: benefit from the law’s provisions, pay for new benefits, embrace the expansion, or resent. Economically speaking, the financial and labor-market impacts contributed to ACA not only because of society’s interest in ensuring access to health insurance but also the risks of health shock can be reduced but not eliminated (Campbell & Shore-Sheppard, 2020).

The Affordable Care Act was established in 2010 with three primary goals in mind: to make health insurance affordable to more people, expand the Medicaid program, and support innovative medical care delivery methods designed to lower the costs of health care generally ( These elements have been applauded for providing insurance to households with incomes between 100% and 400% of the federal poverty level. I think one distinct element that can be improved is to provide insurance to middle-class families. Growing up, my parents have always predicted that there would be no middle-class, only low-class and high-class in the future. My sister goes to the University of Arizona, and in one of her classes, they discussed how the middle class is slowly disappearing. So, I think it is important to provide insurance for “disappearing” classes because they are not making enough income or make too much income to even qualify for ACA, should they need that extra coverage.


Campbell, A. L., & Shore-Sheppard, L. (2020). The social, political, and economic effects of the affordable care act: Introduction to the issue. RSF: The Russell Sage Foundation Journal of the Social Sciences6(2), 1–40. Affordable Care Act (ACA) – Glossary.,insurance%20available%20to%20more%20people.&text=Support%20innovative%20medical%20care%20delivery,costs%20of%20health%20care%20generally.

Levitt, L. (2021). The Language of Health Care Reform. JAMA325(3), 215-216.

Teitelbaum, J. B., & Wilensky, S. E. (2017). Essentials of health policy and law. Jones & Bartlett Learning.

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