these are the assignment instructions

• An example of healthcare policy is the Affordable Care Act (Obamacare).
• Provide a summary of this public policy.
• Explain how three different factors shaped this public policy.
• How do political factors shape this public policy?
• Support your responses with at least one specific referenced example.
• How do social factors shape this public policy?
• Support your responses with at least one specific referenced example.
• How do economic factors shape this public policy?
• Support your responses with at least one specific referenced example.
• Support your examples with information from the text and at least two, additional academic sources.
• Your viewpoint and purpose should be clearly established and sustained.

Words from my professor: The class text is still missing. That is one of the MSRs.

My submission:

Identify how different factors shape public policy

Dorine Mitchell

Purdue Global University

Medicaid, established in 1965, is a social security program that provides financial assistance to low-income families and individuals, including children, gatekeepers, pregnant women, the elderly, and people with disabilities. (Provost, C., and Hughes, P., 2000). Every State tries to run its own Medicaid program while trying to hold the stick policies and acts within the Government guidelines. Since the public authority rules are wide, states have a ton of flexibility in arranging and dealing with their tasks. In like manner, Medicaid capability and benefits can and routinely shift for the most part starting with one state, then onto the next (2018, Policy Basics: Introduction to Medicaid, n/d).

More than 97 million low-paying Americans were given access to Medicaid in 2018. (Rudowitz, R., 2018). In any month, Medicaid served 32 million teenagers, 28 million grownups (for the most part in the low compensation working families), 6 million seniors, and 9 million individuals with idiocies, as displayed by the Congressional Budget Office (CBO) checks.

Even though children account for more than two-fifths of Medicaid enrollees, they only account for one-fifth of Medicaid expenses. The elderly and children account for more than half of all Medicaid spending. (Rudowitz, R., Garfield, R., and Hinton, E., 2018).

While Medicaid focuses mainly on women with children, children, and pregnant women. At the age of 65, Medicare focuses mostly on the elderly and handicapped. To date, there are little over 10 million low-income elders and disabled persons in the United States, making them eligible for both Medicare and Medicaid. Medicaid is a refreshing program in that it reaches out to those in need during a financial downturn when they lose their jobs and are unable to work.

During the Great Recession of 2007-09 and its aftermath, more than 10 million extra people mostly their children applied for Medicaid. (Rosenbaum, S., 2010). Despite a 2012 Supreme Court judgment that provided states the choice of whether to extend their businesses, the Affordable Care Act (ACA) was recommended to slow down thought to each such grown-up.Medicaid is a "capacity" program, which means that everyone who meets the eligibility criteria is eligible to enroll. It suggests that states have secured government financial assistance for a portion of the cost of their Medicaid plans. States should cover certain "required" people categories in order to get government support:

- Families with children under the age of 18 will pay less than 138 percent of the public power disheartening line ($29,974 for a group of three in 2020).

- Pregnant women who have paid less than 138 percent of the dejection line.

- Some gatekeepers or regulators who receive unusually low pay.

- The Supplemental Security Income (SSI) program provides cash assistance to most seniors and people with disabilities.

The Affordable Care Act (ACA), or "government prosperity change," was signed into law on March 23, 2010, as amended by the Health Care and Education Reconciliation Act, which was checked on March 31, 2010. The act comprises several different game plans, each with its own set of compelling dates.

Several papers in this series go into greater detail about unambiguous focus. The Affordable Care Act's (ACA) plans are expected to expand insurance coverage, boost client affirmations, boost expectation and prosperity, improve quality and structure execution, expand the prosperity workforce, and control rising clinical consideration costs. (Rosenbaum, S., 2010).

The Affordable Care Act was designed to lower the cost of medical care for those who qualify. The measure combines premium tax cuts with cost-offering reductions to help lower-income individuals and families cut expenditures. Premium duty reductions reduce your clinical service charge each month.

Meanwhile, cost-sharing reductions reduce your money-based costs for deductibles, copays, and coinsurance, as well as your money-based most significant: the total you pay in a year for taken care of prosperity costs. All ACA-compliant clinical service plans, including every course of action sold on the Health Insurance Marketplace, must include unequivocal "basic clinical benefits" such as:

- Organizations that walk with patients

-Breastfeeding is prohibited.

- Crisis management organizations

- Family coordination

- Inpatient care

- Organizations associated with laboratories

- Childcare during pregnancy, maternity, and after the birth of a child

- Medication that has been recommended by a professional

- Preventive and wellness organizations, as well as persistent infection across the board

- Organizations for children

- Rehabilitative and habilitative assistance

Similarly, the ACA requires most security plans, including those sold through the Marketplace, to include a review of prevention organizations at no cost to policyholders.

These include tests, patient education, immunizations, and various health screenings. Consider how states have chosen to simplify the way Medicaid is implemented for a larger number of people.(Rosenbaum, S., 2010).

This request resulted in a significant improvement in government control over the clinical consideration industry and the economy in general, as it required all individuals to purchase a help (medical care inclusion) if they wished to. This piece of the law was a critical point of convergence of conversation and was tried in the U.S. High Court in 2012 by the National Federation of Independent Business. The Court chose the individual order as a secure exercise of Congress' troubling authority, portraying the subjects, imposed on the uninsured, as a tax. (Provost, Christie, and Paul Hughes, 2000).

After President Obama left office, the ACA suffered obstruction and different enormous changes. The Trump Association, on Jan. 20, 2017, in his first chief solicitation ensuing to having the chance to work, past President Donald Trump hailed his assumption to sabotage the ACA, saying boss office heads ought to "defer the execution of any course of action or need of the Act that would compel a financial load on any State. The Court chose the individual order as a safe exercise of Congress' troubling authority, portraying the subjects as a tax imposed on the uninsured. Patient Protection and Affordable Care Act (ACA).

Changes have been made to the law that watched out for a segment of the grumblings raised by rivals, while at this point keeping the Marketplace open for customers. In March 2019, House Democrats unveiled legislation to aid the Act and develop consideration, while the Trump administration revealed its intention to repeal the entire ACA. In a letter to an administration demands court, the Justice Department stated that it is not a regulatory delegated expert in Texas who articulated the clinical benefits law illegal, and that it will keep the judgment in bid. The Supreme Court heard the case in November 2020, with a collaboration of 21 top legal officials ensuring the ACA.

References:

Rosenbaum, S. (2010). The Government Patient Protection and Affordable Care Act (P.L. 111-148).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3001814

(2021). Patient Protection and Affordable Care Act (ACA).

https://www.asha.org/practice/health-care-reform/affordable-care-act/

(n/d). (2021). Patient Protection and Affordable Care Act (ACA).

https://www.healthcare.gov/glossary/patient-protection-and-affordable-care-act/

Provost, Christie, and Paul Hughes. (2000). Medicaid: 35 Years of Service.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194689/

(n/d). (2018). Policy Basics: Introduction to Medicaid.

https://www.cbpp.org/Research/Health/Introduction-to-Medicaid,%202018.

Rudowitz, R., et al. (2018). 10 Things to Know about Medicaid: Setting the Facts Straight.

https://www.kff.org/medicaid/issue-brief/10-things-to-know-about-medicaid-setting-the-facts-straight/.