The Affordable Care Act ( Aca )

The Affordable Care Act (ACA) is a health reform law that was signed by President Barrack Obama on March 23, 2010. The full name of the law is the Patient Protection and Affordable Care Act (PPACA). One week later the President also signed a law called the Health Care Education and Reconciliation Act (HCERA), which was a supplement that made several changes the PPACA. What the country currently refers to as the ACA or "Obamacare" is both of these laws combined. (McDonough, 2012)

For this reaction paper, I have chosen the topic of whether or not I believe that the Affordable Care Act (Obama Care) should be repealed, replaced with something else, or stay in its current form. I believe that Obama Care should be fully repealed. However, I don’t believe that just repealing this legislation is enough. I believe that there should be a series of reforms ready for implementation that follow free market principles and that will restore economic freedom.

The Affordable Care Act (ACA) added to the Social Security Act has increased the financial accountability of healthcare organizations for preventable readmissions. Hospitals have increased their awareness and are looking for system ways to assist in the reduction. The Centers for Medicare and Medicaid Services (CMS) have initiated a process for decreasing the reimbursement for readmitted patients within a 30-day period. CMS identified readmission measures for applicable conditions of acute myocardial infarction (AMI), heart failure (HF), pneumonia and in 2015 chronic obstructive pulmonary disease (COPD) and hip and knee replacement which are included within the measurement to calculate the readmission payment adjustment for

The Affordable Care Act (ACA) has been a primary debate topic since it was enacted in 2010. The conservatives completely disagree with the Affordable Care Act and believe that “Democrats used it as an assertion of power than they used it to improve health care conditions” (“Republican Views on Health Care”, 2014). They believe that the act was a waste of taxpayer’s dollars and would inevitably ruin our health care system. In contrast, the liberals supported the ACA and “pride themselves on the fact that health care costs are growing at the slowest rate since 1960” (“Democratic View on Health Care”, 2014). The liberals believe that every American should have access to health care by making premiums affordable. However, in order to do so

The Affordable Care Act (ACA), also known as Obamacare, was officially signed into legislation in March 2010. The ACA was a major step in achieving a system of universal healthcare, which essentially means all citizens are provided with healthcare and financial protection. In the 1960’s America introduced the Medicare and Medicaid programs, which helped guarantee some type of medical insurance cover for the very poor (Medicaid) and elderly (Medicare). Even though programs like these assisted in covering the most vulnerable groups of people, many Americans still did not have healthcare insurance. The goal of the ACA reform is to ensure that all Americans are covered by some form of health insurance. The ACA promises healthcare access to

Since the passage of the Affordable Care Act (ACA), consumers are utilizing different resources to gain more knowledge about healthcare choices. While many consumers survey websites from healthcare organizations, they also viewed websites from quality agencies and medical information sites generated by their favorite search engine. These websites provide information on medical concerns that influence the choices that consumers make regarding healthcare. By using quality agency websites, consumers can acquire essential information on healthcare organizations and providers in order to make educated decisions about the quality care they receive.

Insurers cover patients at no cost: Under the ACA, nearly all insurers most provide specific preventative care to patients, at no cost. (HHS.gov, 2016)

Health care in the United States (U.S.) is driven by a makeshift of services and financing. Americans access health care services in diverse ways, from private doctors’ offices, to hospitals, and to insurance providers. The effects of the ACA will have numerous changes impacting hospitals and physicians practices. One of the main goals of healthcare reform is to reduce Medicare expenses by combining payment for services provided by hospitals, doctors, and nursing homes into one lump sum, which will effect

How can a low income sick person pay for an expensive treatment especially when they are not currently employed? There are individuals that have the resources to cover any medical expenses that they may encounter in life, but certainly not everyone has such funds. When people are diagnosed with end-stage renal disease (ESRD), the health provider sadly notifies them that they will not be able to perform most of the things that they were used to doing. ESRD patients must adjust to complete change of life styles due to deteriorating health, treatment timing, and transportation from home to dialysis facilities. In most cases, people with ESRD will more than likely lose their jobs because their work and treatment

My community assessment project focused on adults with chronic renal disease who are receiving peritoneal dialysis under the care of the Davita Dialysis Clinic located in Dothan, Alabama. This modality of artificial kidney replacement minimizes the disruption of the user’s daily life by allowing them to remove waste products from their bodies on daily basis during their ordinary sleeping hours. According the Centers for Disease Control and Prevention, it was estimated that as many as 10% of adults or more than 20 million people in the United States may be suffering from chronic kidney disease and in 2011 alone, 113,136 of these individuals began treatment for their end stage renal disease ("National chronic kidney disease fact sheet,

My community assessment project focused on adults with chronic renal disease who are receiving peritoneal dialysis under the care of the Davita Dialysis Clinic located in Dothan, Alabama. This modality of artificial kidney replacement minimizes the disruption of the user’s daily life by allowing them to remove waste products from their bodies on daily basis during their ordinary sleeping hours. According the Centers for Disease Control and Prevention, it was estimated that as many as 10% of adults or more than 20 million people in the United States may be suffering from chronic kidney disease, and in 2011 alone 113,136 of these individuals began treatment for their end stage renal disease ("National chronic kidney disease fact sheet, 2014," 2014).While chronic kidney disease is most commonly seen among individuals of African American descent and in adults over the age of 70, this harsh and deadly disease is not a respecter of age, gender, or race. More than 70,000 people die each year as a result of kidney disease, and Alabama has been ranked fifth in the nation for kidney disease occurrence ("Kidney Facts : Alabama Kidney Foundation," n.d.)

The intake can be measured by Albumin, pre-dialysis urea, and phosphate. Decreased serum albumin may cause generalized edema or swelling via a decrease in oncotic pressure. Monitoring of body weight to know if the patients exceed to recommended allowance fluid gain between treatments. Caring for the access is essential to start and maintain dialysis it will be the way to initiate dialysis. It is important to monitor all ESRD patients to identify risk/potential problems so it can be addressed early and properly.

Cabral was part of the hemodialysis team who received an award in October for having the highest AVF rate (a quality indicator) among 186 dialysis units in the Southeast. Her skill in cannulation and her attention to detail in identifying any problems with access has helped to exceed our unit benchmark. Ms. Bardsley and her colleagues were also recognized by the VA for being 2nd in the country for excellence in AVF rates, adequacy of hemodialysis and anemia management. Ms. Cabral actively participates in quality improvement activities that result in improved outcomes. Ms. Cabral helps to guide evidenced based practice in the dialysis unit. She participates in monthly quality improvement meetings with the interdisciplinary hemodialysis team in order to discuss and improve quality outcomes. She has revised the Epogen protocol to improve the anemia

In 2014, thousands of people are dying while they are waiting for transplant a kidney or their health became even worse, “Last year in the United States, more than 4,000 people died while

Medical advances of the 21st century have led to longer life expectancies and subsequently more challenges for the health care system as the prevalence of many chronic diseases edge higher in an aging population.(Tonelli) The prevalence of chronic kidney disease (CKD) and end-stage renal disease (ESRD) continue to increase posing a significant burden on the public health care system.(Coresh) Between 2007 and 2009, the prevalence of kidney disease among Canadian adults was estimated to be 12.5%, representing nearly 2.4 million patients.(Arora) The number of Canadians being treated for kidney failure has tripled over past 20 years.(CORR)