Currently the U.S. Healthcare system is experiencing the most significant policy implementation since Medicaid and Medicare.  According to the Center for Disease Control(CDC), in 2009, there were nearly 60 million American citizens who did not have health care insurance (CDC, 2010). Miraculously, less than a year later, On March 23, 2010, President Barack Obama signed the 1st comprehensive healthcare plan into law, the Affordable Care Act (ACA), infamously known as Obamacare. This historic legislation was viewed by a widely-diverse populous of the American electorate as the most significant legislature of time. Healthcare insurance for everyone. The thought of healthcare coverage for every American citizen was a phenomenal ideal. The notion of “healthcare insurance for everyone” was a marvel; much more than a dream come true for many.

It’s no secret that change is difficult and neither is it unknown by the American people that the U.S. Healthcare system has changed over the years. In fact, the U.S. Healthcare system has evolved into what is now considered a healthcare-business industry. The two most recent events that pale in comparison and that are of the same caliber and magnitude like the ACA has are the 1965 amendments to Social Security; Medicaid and Medicare.

These two dynamic programs were created to provide funding and healthcare to low-income families and increase healthcare provision benefits to the elderly. As Obamacare has done, Medicaid and Medicare have renovated the U.S. Healthcare system.

Yes change may be inevitable, needed and required to bring about necessary reformations. However, that doesn’t erase the challenges involved with the “process of change”. In addition, the challenge of change is not solely responsible for the opposition to Obamacare.

On the surface, healthcare insurance for every American citizen appeared to be smooth. After all, a legislature with so much promise and so many benefits for those deserving should have passed with flying colors. Surprisingly, that was not the case and Obamacare, the statute to provide healthcare insurance to everyone has become one of the most controversial contentious laws of American history.  The magnitude of the opposition to Obamacare has been no stranger since the law passed in 2010. For example, the U.S. House of Representatives has attempted to repeal Obamacare 54 times; all unsuccessful. Are these repeal attempts against “healthcare insurance coverage for everyone” or are they against factors that aren’t so apparent? Obamacare is a federal law; mandating every American citizen to get healthcare insurance which means states government have no ruling power over this statute. What happen to federalism?

Even though the ACA has met opposition, it is big; having become bigger than it was ever imagined to be. The ramifications of the ACA are huge. For example, the insurance companies have a larger pool of consumers; the more people they have the more money they are bringing in, the HMO’s and the physicians are getting paid more because more people now have healthcare insurance and are following through with appointments, the small business owners now have to follow the ACA mandates because of the Hobby Lobby case, some employers have decreased their full-time employees down to part time so they don’t have to pay their share of their healthcare insurance coverage.

The ACA has become the center piece of the healthcare business industry; affecting consumers, retailers, and manufacturers. The success or the failure of the ACA may not be determined for many years. Regardless, this healthcare law will have a lasting effect on the American people and the business industry.

                                                  References

Bloomberg News Homepage: Most effective health care: countries Retrieved Aug 15, 2015 from :

http://www.bloomberg.com/visual-data/best-and-worst/most-efficient-health-care-countries

Cantor, J. C., Thompson, F. J., & Farnham, J. (2013). States’ commitment to medicaid before the affordable care act: Trends and implications. Inquiry – Excellus Health Plan, 50(1), 71-     84. Retrieved Aug 10, 2015 from :

http://search.proquest.com/docview/1365648570?accountid=32521

Center for Disease Control Homepage: Vital signs: health insurance coverage and health care             utilization —United States, 2006–2009 and January–March 2010 Retrieved Aug 15, 2015 from :

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm59e1109a1.htm

O’Keefe, E. (March, 2014). The house has voted 54 times to repeal Obamacare. Here’s the full list Aug 20, 2015 The

Washington Post Retrieved Aug 15, 2015 from

http://www.washingtonpost.com/blogs/the-fix/wp/2014/03/21/the-house-has-voted-54-times-in-four-years-on-obamacare-heres-the-full-list/

Ryan, E. (2012). Obamacare and federalism’s tug of war within. Rochester: Social Science Research Network Retrieved Aug 20, 2015 from http://papers.ssrn.com/sol3/papers.cfm?abstract_id=2088762

U.S. Department of Health and Human Services Homepage: The Affordable Care Act Retrieved Aug 30, 2015 from

http://www.hhs.gov/healthcare/rights/

World Health Organization Homepage: World health Report 2000 Retrieved Aug 30, 2015 from

http://www.who.int/whr/2000/media_centre/press_release/en/

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