The Affordable Care Act –

The Affordable Care Act (ACA) has caused our country to be in total turmoil.  Hundreds of thousands of government employees are shut out of their jobs because the legislators cannot agree on how the program will work, who will receive the greatest benefits and how much it will cost.  It is hard to understand why in the most industrial, richest, and most democratic country in the world there are citizens without medical care.  The ACA was designed to solve this crisis.


Among the problem are:

  • The law was pushed through the legislative process without bipartisan support.  Nancy Pelosi is said to have said words to the effect: sign the law and then you will know what it say.  With some provisions already enacted, the country is on the verge of having the exchanges, through which people can purchase this insurance, open.  The issue is that we still do not know a lot about the law.


  • The cost of the insurance is unknown.  The fact is the policies can cost different amounts depending on in which state a person lives and there are even differences within different cities within the same state.


  • The fact that businesses were given an extra year before having to provide the coverage required in the law while the individual person is not allowed the same extra time.


  • The long term cost to the nation.  It is said the law will add 10 billion to the deficit in the next 10 years.


The bottom line is that it is only fair that all Americans should have reliable, affordable health insurance, but there is a right and wrong way to get things done.  This was not done the right way and now those working for the government are paying the price.

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  1. MarkT says:

    Hello Ralph,
    I appreciate your summary of the problems related to the Affordable Care Act. We have been lot of hand-wringing over the decisions that have come out since the passage of PPACA. Many employers and individuals have taken a ‘wait and see’ approach. Whether we believe its right or wrong, like it or not, we cannot ignore the realty of today. I read an interesting quote this week that said: “Is ‘Obamacare” a light at the end of the tunnel or a train barreling down the track in your direction?” (, 2013)

    Healthcare Reform: Implications for your health system. (2013, October 3). Healthdatamanagment.

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