is a nickname or rather another word used in place of the PPACA (Patient
Protection and Affordable Act) which is a United States federal stipulation
that was created and implemented during the reign of President Baraka Obama.
The statute was amended by the Congress in March 2010. Obamacare simply
represents the United States healthcare holistically especially focusing on the
most sensitive and critical medical issues with an aim of expansion and
application of proper regulations. However, even with the focus that the
Obamacare has given in the health sector, the same has been questioned
especially on its different provisions set in place. These provisions include:
Medicare Savings: This provision was meant to amicably
reduce the costs of medical and health costs like those of drug companies as
well as insurance companies. However, it created a negative image as its
implementation distorted the insurance as well as the drug business. This means
that despite the fact that Obamacare was initiated with an aim of enhancing the
health sector, on the other hand, it created a challenge in other sectors (French, Homer, Gumus & Hickling, 2016).
Medicaid expansion: This is a program that provides
various healthcare services in the United States and has been considered during
budgeting over the years. The federal government contributes a specific
percentage of the funds used by Medicaid. Obamacare resolved to expand the
program especially by extending the limits of eligibility. This was to allow
citizens below the poverty line to access the services offered by Medicaid.
However, the increase in the number would then lead to the increase of funds
used by the program. This means that the Federal government had to raise the
cost of living in order to collect more revenue to cater for the same.
Individual Insurers: The insurance industry was not
allowed to offer health insurance coverage to illegal immigrants even though
the number was high. It was not also allowed to give cover to those who are
residents in states that do not approve the Medicare Program or those who do
not qualify for the same. In addition, the insurance industry is regulated not to
drop customers when they feel unwell and are unable to stabilize financially.
The insurers are expected to provide cover for other health expenses of an
individual after the government offers its Maximum out of Pocket.
Taxes: There was an added percentage of tax that was
added to individuals who register themselves as couples. In other words, those
couples generating over 200000 dollars had to pay an extra 0.9 percent tax.
This means that other citizens will be subject to higher taxes than others.
Employer Mandate: The provision rules out that any
company or organization that has more than fifty employees and does not cover
their health insurance will definitely pay a penalty in taxes. This is seen to
rule out that those individuals working in companies with less than 50
employees stand a risk of not being insured (Facts,
since Obamacare system started functioning, they have been merits as well as
demerits of the results of its impact. There are Pros as well as Cons.
One merit of the Obamacare is that more people can now
access and afford medical insurance. After a period of five years since the
implementation of the program insured citizens have increased especially the
young adults. Another merit is that before the implementation of the Obamacare
it was difficult for one to access health insurance cover when suffering from a
terminal illness like Cancer, however same individuals can now access medical
coverage. In addition, more services like screening have been catered for by
the Obamacare. Additionally, due to the reduced costs of drugs, an individual
can now access prescribed drugs at a lower cost. Lastly, the insurance
companies do not set the limit of funds to spend on customers like before which
really affected those with terminal diseases.
It is punishable if one is found not be medically
covered. The main aim of the program is to make sure that all citizens have
health insurance covers. If one does not have one, then he or she ought to pay
a certain penalty. Another con is that due to the high number of insured
individuals, insurance companies have divided the covers into sections where if
one wants to be covered even on critical levels, one has to pay for the premium
cover. Lastly, most companies and organizations are keeping off from employing
many people so as to avoid paying for their medical covers. Others are cutting
down employees for the same reason meaning that people are losing jobs because
of the measures set in place by the Obamacare program.