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Policy-Making in the Federal System Essay Example

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Policy-Making in the Federal System

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Policy-Making in the Federal System. Health care reform in the United States has been the top talking point of every administration since the times Bill Clinton was the leader of the largest economy. Bill Clinton tried to reform the health care policy by requiring every employer to provide their employees with health insurance in 1993 but failed because his policy was termed complex. When Obama took over office, health care reform was among the top four items on his agenda. He instituted bills that led to the passing of the ObamaCare bill. The Act required that every state adopts its contents but there were concerns that some states would lose their Medicaid after the law had been passed. This resulted in a number of court cases which were hinged on the fact that some states benefited from subsidies because the government had established marketplaces in those states.

This meant that some states would not benefit mainly because they did not have state established marketplaces.The ObamaCare policy has its pros and cons. The pros are that the bill proposes medical cover that is affordable for all American citizens, from the poor to the rich. The health policy also provides for subsidies to the poor who cannot afford the health insurance premiums. The subsidies enable them to pay the premiums since they only have to top up the extra amount required. The policy also requires employers with more than fifty full time employees to provide them medical cover (ObamaCareFacts, n. This ensures that all working class individuals have a cover that is provided by their employer. The disadvantages of the ObamaCare health policy is that it heavily taxes the rich for the benefit of the poor. This has resulted in unending lobbying since it affects the incomes of the rich and wealthy. The policy also requires exchanges to be developed that will enable states to benefit from the subsidies granted. Unfortunately, some states have not established the exchanges and therefore will not benefit from the subsidies.The ObamaCare health policy has been very effective since its passing into law. The effectiveness is seen from the number of citizens who now have health insurance. The number increased by seven million in the first year(Owens, 2015). In addition, the health inflation that had been experienced in the past has now reduced tremendously because the policy has included more people into the health insurance. More people can afford medical care ever since the policy was enacted.The. Policy-Making in the Federal System.

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