The Affordable Care Act is one of the major issues debated about the American Healthcare system. Since the enactment of the Obama Care, many people, including the Congress, the media, and the courts, have been debating on whether to amend or to end it. With President Obama as the sitting president, it was not expected to change. However, with a Democrat as president, it may be difficult to change it because Obama Care will already be covering 15-20 million of American. Therefore, the incoming president will have to work with the Congress so as to either amend it or to remove some parts of the law.
The two competing solutions to the Affordable Care Act are whether to amend it or to end it. Over the years the Law has been faced with some issues such as market stability, even though the federal government has been trying to protect the insurers from the high prices. However, the law keeps changing due to frequent amendments. Also, the Cadillac tax created by the health law makes it unaffordable to some individuals. Also, the law could be removed due to political resistance since the Republicans are against it.
The best option would be to amend it because there are more advantages to the people as compared to the limitations involved. For instance, more Americans now have health insurance, due to the affordability and also because the law aims at preventing the insurers from increasing the rates unreasonably. Also, the law allows for coverage for people with pre-existing health conditions, unlike other insurers. However, the law has some limitations, such as reduction of working hours as a result of increased insurance to employees with more working hours. Also, there is the fact that the law is likely to change with the transition in politics. Despite the few challenges, the law is quite beneficial to the citizens. Therefore, it should be amended to fit the need of all citizens.
Responsibilities of Federal, State, and Local Government
The main responsibilities of the federal government are to create and enforce laws to ensure order as well as the stability of society. Additionally, the government regulates the welfare of every citizen through the provision for the establishment of marketplaces whereby one can access qualified health plans and administering of premium subsidies to achieve affordability of the cover. The federal courts, therefore, have helped in the interpretation and implementation of the law to facilitate the expansion of its coverage. Also, it has helped in enhancing the achievement of the policy goals. However, there are some shared responsibilities between the federal and state governments such as the funding of Medicaid to help people with low income to afford the cover. Also the creating and collection of taxes, the establishment of courts, transportation, borrowing money and improvement of infrastructure to enhance the availability of the services to the citizens.
The state government is responsible for ratifying and establishing constitutional amendments of the state, provision of public health and safety. The state also does the issuing of licenses and the establishment of local government. The local government roles are education, the welfare of the police, fire department and also human services. Also the construction and maintenance of the public assets including management of sewers. Other roles include economic development and recreation facilities and parks.