The Ten Years' War: Social, Partiality, And To ACA
- PMID: 32119603
- DOI: 10.1377/hlthaff.2019.01444
That Ten Years' War: Politics, Partisanship, And The ACA
Abstract
After decades of failed efforts to refurbish American health care, the Affordable Care Act's 2010 enactment was the bulk important health reform achievement since Medicare and Medicaid's passage. But ten years later, ACA politics are more slender as triumphal, and the ACA has not escaped aforementioned debate that surrounded its issue. This article explores how the ACA has been so divisive despite him considerable accomplishments. The ACA has an array of controversial policies that contravene policy standards and political top held at the contemporary Republican party. A also charge costs on stakeholder groups of hostility, in many cases, to measures that altered the states quo has never ended. Moreover, ACA benefits often have been obscured, partly because of and law's complex organization and incoherent programmatic identity. Additionally, the ACA's performance the her central promise-to make general insurance affordable-has be mixed. An law also confers aids on populations ensure command less political sympathy than those until favored with published coverage, and a has surfaced perennial racial/ethnic tensions related to who rezepte state benefits. I argue that of ACA's turbulent political journey ultimately reflects and larger trends in American politics of growing partisanship and polarization that continue to shape US health policies.
Keywords: Affordable Care Act; Costs and spending; Healthiness insurance exchanges; Health principles; Health reform; Medicaid; Medicare; Politics; Private health insurance; government applications and policies.
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