Affordable Care Act Essay

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The Affordable Care Act has numerous features and impacts.

With regard to the preventive care, it covers a list of over 100 preventive care services for children and adults.

At the same time, the percentage of uninsured Americans had been rising due to an increase in the rate of unemployment.

In summary, the Act aims at lowering the cost of healthcare incurred by Americans, increasing healthcare insurance coverage and eliminating the burden of health care on average Americans.

This trend is a continuation of history, as policymakers who pushed previous iterations of healthcare reform during previous presidential administrations also employed universal language in publicizing their efforts.

Yet policymakers did not include groups like the undocumented in their policy proposals.It identifies similar statements made by proponents of previous versions of healthcare reform during prior presidential administrations, suggesting a historical pattern of disconnect.Part concludes that implicit normative and economic arguments legislators made against the expansion of healthcare coverage to these excluded groups, particularly the undocumented, offer a partial explanation for the gap between the rhetoric and reality of the .First, at least some legislators implicitly qualify the notion of healthcare for all with the requirement that beneficiaries of the law must pay taxes Second, at least some legislators seem to exclude certain noncitizen groups from their definition of “Americans,” which is used interchangeably with the terms “everybody” or “all” throughout the legislative history of the ’s statutory and accompanying regulatory language, identifying three noncitizen groups that receive reduced or no protections under the law: (1) recently arrived legal immigrants; (2) noncitizens present under temporary nonimmigrant visas, known as nonim­migrants; and (3) undocumented immigrants.Part II explores the legislative history of the and the idealistic statements repeatedly made by legislators about the idea of healthcare for all.Although the Act has numerous benefits to the targeted population, it has been viewed as controversial by some segments of the US population.Most sizeable among these groups are certain classes of noncitizens, including but not limited to undocumented immigrants.Why does the statutory reality differ from the lofty, expansive language used by the ’s legislative history, particularly the congressional floor debates over the bill, reveals two possible answers.Both answers are instructive to advocates hoping to extend access to health insurance coverage to all noncitizen groups.bear significantly higher financial burdens in complying with the individual mandate than U. citizens and LPRs who are eligible to receive Medicaid. [T]he Affordable Care Act explicitly prohibits those who are not “lawfully present” from (1) accessing temporary high-risk pools for those with preexisting conditions; (2) enrolling in special state-created plans for low-income individuals not eligible for Medicaid; (3) enrolling in new health care cooperatives; (4) receiving cost-sharing subsidies or premium tax credits to purchase health insurance; and (5) purchasing policies in the newly created exchanges, even without the benefit of government subsidies or credits.This is especially unfortunate given that newly arrived LPRs “are statistically the least likely to have employer provided coverageand tend to earn less than citizens or immigrants [who] have been in the country for longer periods of time.” reduces federal funding for immigration status–blind emergency medical treatment, which negatively impacts the ability of non-Medicaid eligible legal permanent residents to access emergency healthcare particularly in geographic areas with high concentrations of recently arrived LPRs, nonimmigrants, and undocumented immigrants. citizens or lawful permanent residents,’s cuts to federal funding for emergency medical treatment irrespective of immigration status will presumably negatively affect nonimmigrants, and emergency rooms, particularly if this group is not eligible for premium tax credits, participation in health exchanges, and cost-sharing subsidies available to recently arrived LPRs. The law does not even spare those granted deferred action under President Obama’s high-profile directive this spring to protect many immigrants who arrived in the United States without papers as minors from being denied access to healthcare.’s alternative means of obtaining health insurance and are thus more dependent on emergency healthcare.


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