One of the current challenges facing the American healthcare system is the repeal, modification, or substitution of the Affordable Care program widely referred to as Obamacare. Because of the high health-related costs and the increasing aging population coupled with improved life expectancy, healthcare in the United States is a critical topic. There must be real improvements to understand the chances of effective healthcare initiatives that represent the needs of the American people that objectively examine and address the healthcare system’s vulnerabilities. The most pressing concern is the rising costs and affordability of health insurance coverage that seek to provide affordable health services and improve healthcare outcomes.
The crucial reforms of the healthcare system. The most pressing concern is the rising costs and affordability of health insurance coverage that seek to provide affordable health services and improve healthcare outcomes.
The crucial reforms of the healthcare system would be the strive to reduce the costs of the insurance schemes. There must be a defined contribution tactic to the financing of public health which is an essential precondition for any marketplace that functions optimally in imposing the necessary cost discipline. In most economic sectors, the demand and dynamics help in keeping cost in check, but this is not the case in the Obamacare as the federal government managed to distort the incentives of consumers completely and particularly since health is a social and essential commodity (Aaron n.p). To achieve reduced costs, the Obamacare needs to change the program from the open-ended subsidies by the government and tax breaks to a contribution system that is well defined promoting the provision of healthcare through insurance plans competitively. This approach will help in reducing costs and advancing healthcare services to all Americans that promotes access and improves quality of care (Capretta & Moffit n.p). The employer plans will also benefit from the approach by moving the unlimited tax break and provide it to workers directly through a fixed tax system.
The second possible solution would be ensuring individual responsibility and persistent protection of coverage. The program remedy should provide the federal government necessary tools that eliminate coercion that anyone who stays persistently enrolled in the program with a minimum coverage policy is assured of minimum cost requirements. The individual should receive benefits that are focused on avoiding projections of premiums that are high and associated with a costly health system. However, for this changes to be effected, the government and other stakeholders should consider some amendments to both the state and federal laws concerning regulation of insurance companies (Dark n.p). The most preferred solution could be the reduction of costs incurred by the insurance covers as that is the most significant hindrance to the universal affordability of the healthcare program by every US citizen.
Each level of government and essential stakeholders have important responsibilities or roles that they are supposed to play in ensuring the successful implementation of the Obamacare. The state plays the critical role by coordinating between the exchange and the Medicaid program thus ensuring everyone is covered and has access to affordable health services. The states also outline the kind of competition they require in the exchange policy that mirrors the vision of the state in a highly competitive market (Allison n.p). Similarly, the states resolve the way they administer new and possibly dominant markets of the health insurance. They also help in coordination of enrollment of a significant population in the means-tested healthcare programs and lastly they use their power of buying and the influence of regulating reforms in the healthcare sector.
The federal government plays vital roles in the actualization and success of the healthcare program which includes leveraging the prevailing infrastructure that supports the ongoing healthcare delivery and coordination of care. It also increases community-based investment services that have connections between primary care and some other resources (Stanek n.p). The government also helps in the continuation of new payment designs experimentation as this helps in the provision of better coordinated and high-value care. Lastly, the federal government contributes to supporting measurement strategies through supporting new payment policies that are value based.
Aaron, Henry J. “Want to fix Obamacare? Here’s how.” Brookings, Brookings, 30 Mar. 2017, www.brookings.edu/opinions/want-to-fix-obamacare-heres-how/.
Allison, Andrew. “State’s role in health care reform.” Health Insurance Exchanges, 2010, http://www.kdheks.gov/hcf/ppaca/download/HealthInsuranceExchanges-StatesRoleinHealthCareReform-AAllison.pdf
Capretta, James, and Robert Moffit. “How to replace Obamacare.” National Affairs, 2012, www.nationalaffairs.com/publications/detail/how-to-replace-obamacare.
Dark, Cedric. “Four ways to improve upon the Affordable Care Act.” Baylor College of Medicine Blog Network, 20 Apr. 2017, blogs.bcm.edu/2017/04/21/improve-affordable-care-act/.
Stanek, Mike. “Federalism in health care: Identifying roles for Federal and State partners.” The Commonwealth Fund, 2014, www.commonwealthfund.org/publications/blog/2014/aug/federalism-in-health-care.