Politics and the Patient Protection and Affordable Care Act Discussion

Politics and the Patient Protection and Affordable Care Act Discussion

Politics and the Patient Protection and Affordable Care Act Discussion

Question Description
Respond to your colleagues* by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.

– I would like to respond my classmate post to my discussion. Can you please help with this. Also very important to add 3 references. Thank you very much!!

-You will see my Discussion then you will see what she posted to my discussion and now i would like to respond back to her.

My post for Discussion # week 3

Lenick Bermudez Beltran

RE: Discussion – Week 3


Politics and the Patient Protection and Affordable Care Act

The divisive politics and polarization have made it difficult for American leaders to rethink about the much-anticipated reforms in healthcare sector. There are those arguing that the current affordable healthcare program under the Affordable Care Act is economical. From a cost benefit analysis approach, for a program to be economical, the benefits must be high compared to the amount incurred in the implementation of the program (Milstead & Short, 2019). The Act makes it possible for most of the citizens to access healthcare services and, therefore, repealing it may make legislators lose political support.

The politics around the affordable healthcare Act is that if it is repealed, some political leaders fear that many people will lose the insurance cover (Hagan et al., 2017). There is also fear that the repeal of the Act will result in a massive loss of jobs with the reduction of people who have access to the insurance cover. For instance, if the Act is repealed, many people who acquired their insurance coverage under the affordable healthcare program will automatically lose them. Millions of low-income earners who got covered under the Medicaid program will lose them, and consequently, many Americans will end up uninsured. This will affect their ability to access and afford healthcare services.

From Feldstein’s point of view, it is unlikely that the politicians will support the repeal of the Affordable care Act. This is based on the fact that from a cost-benefit analysis, the politicians are only likely to support a legislative agender that has more beneficial to them (Feldstein, 2006). On this basis, they are not likely to repeal the Affordable Care Act because it will not be beneficial to the Americans. This is reflected by the fact that despite the efforts by President Trump’s efforts to have the Act repealed, he has not been succeeded. For instance, even when the republics were in the control of the Congress, they could not Marshall the necessary support for the votes required to repeal the law. The coat benefits (political support), in this case, outweigh the cost (losing political support). Therefore, they are not likely to support the repeal.


Feldstein, P. (2006). The politics of health legislation: An economic perspective. Chicago, IL: Health Administration Press.Politics and the Patient Protection and Affordable Care Act Discussion

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

Taylor, D., Olshansky, E. F., Woods, N. F., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education [Nursing Outlook 65/2 (2017) 242–245]. Nursing Outlook, 65(3), 346-350.
Response from my classmate to my post:

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Liliana Torres


Hi Lenick,

The fact that if the Affordable Care Act is repealed will cause many people to lose insurance is troubling. The United States will have up to 21 million individuals uninsured (Abelson, Goodnough & Pear, 2019). In addition to, Abelson, Goodnough and Pear state “without the A.C.A, the cost of care for people who cannot pay for it could increase as much as $50.2 billion…Hospitals and other medical providers will incur losses” (2019). Therefore, one of the Affordable Care Act’s goal was to promote primary care and preventative care which will reduce visits to the emergency department or reduce worsening chronic illnesses. According to Araujo’s Average Health Care Costs and Ways to Save, she states “health care spending is projected to grow at an average rat3e of 5.5% per year between 2018 and 2027” (2019). If the Affordable Care Act is repealed and an uninsured visit the emergency department without paying their bill it would lead to money loss in health care. “Once a patient declared bankruptcy [for medical bills], the hospital had to declare a loss on any unpaid treatment” (Amadeo, 2019). Furthermore, in Amadeo’s article, she concludes “Obamacare reduced the number of bankruptcy filings” (2019), which is a benefit to the economy and Americans.


Abelson, R., Goodnough, A. & Pear, R. (2019). What happens if Obamacare is struck down?. The New York Times. Retrieved from

Amadeo, K. (2019). Benefits of Obamacare-What you will and won’t lose if Obamacare is replaced. Retrieved from

Araujo, M. (2019). Average health care costs and ways to save-Be prepared by understanding what you might pay. Retrieved from

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

Politics and the Patient Protection and Affordable Care Act

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.


Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.


To Prepare:

  • Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
  • Consider who benefits the most when policy is developed and in the context of policy implementation.

By Day 3 of Week 3

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.

By Day 6 of Week 3

Respond to at least two of your colleagues* on two different days by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.

*Note: Throughout this program, your fellow students are referred to as colleagues.