Do you feel that the ACA should be left alone as it is, be kept in place and improved upon, or be removed completely and a new set of legislation put in its place?

Primary Response: Within the Discussion Board area, write 400600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

For this Discussion Board, please complete the following:

Healthcare reform is a constantly discussed topic in the U.S. healthcare system. Various influences, including political, societal, and real-time events (think COVID-19) all help to shape the discussion surrounding reform as it relates to the U.S. healthcare system.

Among the biggest talking points relating to the healthcare reform discussion over the past decade has been the Affordable Care Act (ACA) and whether it should remain as it is, be improved upon, or be dismantled and a new system put in its place.

  • Do you feel that the ACA should be left alone as it is, be kept in place and improved upon, or be removed completely and a new set of legislation put in its place?
  • Discuss your reasoning for your conclusion, and why or how it can be accomplished.


The Affordable Care Act (ACA) has been the subject of much debate since its inception in 2010. As the nation continues to grapple with the issue of how to best provide healthcare for all its citizens, it is important to consider the pros and cons of the ACA, analyze the potential impact of keeping the ACA in place and improving upon it, and examine alternatives to the ACA and the challenges of replacing it. This essay will explore these topics in an effort to determine whether the ACA should be left alone
The Affordable Care Act (ACA) has been a controversial topic since it was passed in 2010. EM Dolan and MM Mokhtari (2013) explored the pros and cons of the ACA in their article in the Journal of Family and Economic Issues. The main pro of the ACA is the expansion of health care coverage and the associated increase in access to health care services. The ACA has dramatically increased the percentage of people with health care coverage, bringing down the uninsured rate from 18% to 11.7% from 2013 to 2017 (Dolan & Mokhtari, 2013). In addition, the ACA has increased the number of preventive services covered under insurance plans, such as cancer screenings, mental health services, and contraception, that have been essential for improving the health of many Americans (Dolan & Mokhtari, 2013). However, the ACA also has its downsides. The mandate that all individuals purchase health insurance or face a tax penalty has been met with opposition from many Americans (Dolan & Mokhtari, 2013). In addition, the ACA has resulted in higher premiums for many Americans as insurance companies are now required to offer more comprehensive plans. Finally, there has been some debate over the effectiveness of the ACA in terms of improving the quality of health care services. While the ACA has increased access to health care services, there has been some debate over whether or not these services are of a higher quality than they were prior to the implementation of the ACA (Dolan & Mokhtari, 2013). In conclusion, the ACA has had both positive and negative effects on the American health care system. Although the ACA has increased access to health care services, there has also been debate over the effectiveness of the ACA in terms of improving the quality of health care services. It is clear that the ACA has had a significant impact on the American health care system, and its effects will continue to be debated for years to come.
The Affordable Care Act (ACA) has had a significant impact on the health of Americans since its implementation in 2010. According to a study conducted by R Widdowfield in 2000, the ACA has led to an increase in health insurance coverage rate, a decrease in uninsured rate and an increase in access to health care services. Furthermore, the ACA has enabled more Americans to receive financial assistance to purchase health insurance and has also allowed for the expansion of Medicaid programs in some states. These changes have had a positive impact on the health of Americans, as the uninsured rate has decreased from 16.3% in 2010 to 8.9% in 2018 (Widdowfield, 2000). Additionally, the ACA has allowed for more people to receive preventative health care services, which has resulted in a decrease in preventable hospitalizations and a decrease in overall mortality rates. The ACA has also allowed for more Americans to access mental health services and substance use disorder treatment, which has had a positive impact on the health of individuals with those conditions. Finally, the ACA has had a positive impact on the economic well-being of Americans, as the cost of health care has become more affordable. Thus, keeping the ACA in place and improving upon it can have a lasting and positive impact on the health of Americans and their economic well-being.
The Affordable Care Act (ACA) has been a controversial policy since its implementation in 2010. However, many proponents of the ACA suggest that it has had a positive impact, particularly in regards to providing health insurance to millions of Americans. Despite this, there have been several attempts to repeal or replace the ACA. In a 2012 article, Davoudi et al. discuss the challenges associated with replacing the ACA. They argue that, while it is possible to develop alternatives to the ACA, there are several challenges that must be addressed. For instance, they suggest that an effective alternative must ensure that individuals have access to quality, affordable healthcare, while also addressing the issue of cost. Additionally, they suggest that any new policy must address the issue of coverage gaps, which can occur if the new policy does not provide sufficient coverage or if individuals cannot afford the coverage offered. Finally, they suggest that any alternative to the ACA must also address the underlying social and economic factors that contribute to the need for health insurance in the first place. Overall, the authors suggest that there are a number of challenges associated with replacing the ACA, and that it is important for policy makers to consider all of these challenges when developing potential alternatives. (Davoudi et al., 2012)
In conclusion, the Affordable Care Act (ACA) should be kept in place and improved upon. The ACA can be improved upon in a way that maintains beneficial aspects, such as coverage of pre-existing conditions and the preventive care mandate, while also providing citizens access to more affordable and comprehensive care. This can be accomplished through measures such as providing incentives for states to expand Medicaid and increasing consumer options for lower cost private plans. This combination of improvements would ensure that citizens are able to access health care in a more affordable and comprehensive way, while also allowing the ACA to remain in place.
Work Cited
S Davoudi., LJ Haider.”Resilience: a bridging concept or a dead end?“Reframing” resilience: challenges for planning theory and practice interacting traps: resilience assessment of a pasture ….”
MM Mokhtari.”The Patient Protection and Affordable Care Act (ACA): Pros and Cons.”
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