Health Care

Health Care Reform in the United States

The American health care act (AHCA) and the affordable care act (ACA), both present alternative images of how the care system should be like and how it should be carried out. With the ACA claims that the cost of healthcare should be reduced further and that every citizen is to be covered. But the AHCA states that it’s the right of every citizen to choose their preferred health care plan. They also argue that the ACA taxes should be revoked.


In both chambers, the Republicans and the president vow to challenge these reforms since the AHCA could not be able to gunner enough votes required. This has resulted in many ACA, that’s the Democrats to consider improving the forms. I strongly believe that the two can achieve this common ground and reduce the cost and at the same time reduce the rate at which it grows.


The drag in the health system is not only caused by the government’s expenditure but by eliminating duplicative, unnecessary and counterproductive regulations, by doing this, the government can save billions of dollars. Things like the federal oversite and the hospitals owned by physicians.


The AHCA’s major aim was to rescission many of the ACA’s many taxes, all this was to be done in single legislation. The ACA contains many payment penurities and taxes for not providing health insurance or for not purchasing in cases of individuals. Luck to this provision mandates the employer to enforce a penalty of 4% over the insurance price for those who opt to use private insurance.

The ACA


The ACA focus on providing health coverage to as many citizens as it can but focusing mainly on those who are uninsured. This is done through exchanges in insurance, where the insurance companies compete for the insureds. Even as the plan was rolled out, in the first years there was little competition that died over the late years. This was caused by the ACA forcing the private insurers out of the competition or as they called it, the exchange. Those who remind were forced to stem the losses incurred during the first roll out. They were given two options to use during the exchange that were to control costs and to control utilization.


The insurers then decided to change the plans that they offered in utilization control from open market PPO to closed market HMO. The open market that provided the enrollees with the choice of a physician was terminated. They further narrowed its primary care network. This reduced the availability in number for the primary care physicians.

The aim of AHCA


This is the reason as to why the AHCA was born, to reduce these taxes and amend the shortcomings of the ACA. The bill through block grant would have reduced the Medicaid dollars that were going to the state. This grant would have saved over $800 billion over a period of 10 years. Then the CBO came up and said that this would result in loss of coverage to the many Medicaid recipients. The time the bill took in parliament was never enough for all the stakeholders to estimate the correct cost leaving them at a great loss.


Though both bills’ aim was to reduce the provided coverage and its cost to the citizens; neither of them could achieve both goals. Even as the Trump administration and the Congress set to refurbish the bills again and replace the ACA, the recommendations of the physicians’ foundations are that they ensure that the American citizens do not lose their coverage by the introduction of the new law. It should rather reduce the high cost of a quality health care system and also increase and improve access to physicians.