The health care reform also known as The Patient Protection and Affordable Care Act or simply Obamacare
became one of the most ambitious projects in the history of the United States since the mid-1960’s.
Those of you who want to write an interesting college essay on pros and cons of Obamacare have to understand that the reform is an initiative of President Barack Obama and to date is considered to be the main achievement of his presidency.
This is the first attempt to reform the U.S. Health Care system of the United States since the 1960s, when the President Johnson created public Medicare and Medicaid, to help pensioners and the poor. The current reform was attempted back in 1993, however, unsuccessfully by Clinton’s administration.
Over the past thirty years, the health care costs have increased disproportionately in America, although there were not any objective prerequisites for this in the form of improved quality of services. During the last decade, the insurance cost per employee has more than doubled. A large part of the population remains uninsured, and the proportion of such people is growing. The insurance sector, provided by employers, is highly monopolized, hampering the mobility of the labor force and creating the conditions for discrimination of patients both before and after signing the insurance contract, including the denial of payment. The ever-increasing cost of Medicare and Medicaid is one of the reasons for the rushing United States budget deficit.
The current health care system is marked by inefficient interaction between the public and private sectors of the economy. Despite the fact that the State allocates huge sums in the industry, it has no effective control over the prices and costs of services and products.
As a result, the health care system almost completely returned to the private sector that although meets American ideals, in reality turns out to be prohibitively expensive, when many poor U.S. citizens cannot afford it, and often the State could not protect them as well. The United States is one of the few developed countries without a universal health insurance system.
On March 21, 2010, the United States Congress approved the health reform; in 2012, part of its provisions was deemed unconstitutional by the Supreme Court.
The main element of the reform, scheduled to begin in October 2013, was the introduction of the compulsory health insurance, which implied subsidies to the poor.
The reform also aimed to improve the health insurance policy. So, according to the Act from January 1, 2014, employers and the insurers will no longer be able to deny workers in providing health coverage or raise insurance premiums if the employee was not diagnosed severe chronic disease (e.g., AIDS, cancer, etc.) before signing the employment contract.
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