Then, the question of how the minimum standard is arrived at is complex. The rich people would quickly pay and gain from the health care benefits scheme.Moreover, some people may also be locked out in the scheme since the policy only concerns with the people who have attained the minimum standards required. This section of the policy should be reviewed to at least try and benefit the majority of the people given that economic disparity is real in the United States The subsidy offered to the low and middle-class earners is not enough. Also on the issue of preventing the health insurers from denying the coverage that is based on the patients’ medical history should be reviewed and modified. This is because not all the patients will have similar medical history, and consequently their coverage will be different. Low-income persons and families whose wages and salaries are up to about 100 % to 400% of the national poverty mark will receive federal subsidies on a descending scale (Orszag & Emanuel, 2010). This is if such individuals buy insurance through an exchange.Reforms to the health care payment schemes are meant to enhance greater effectiveness and productivity in the healthcare distribution plans by restructuring Medicare compensations from fee for service to hurried payments (Patient Protection and Affordable Care Act of 2010) . Moreover, in the new payment scheme, one payment is made. Public Administration - The Good, The Bad, The Ugly - Health Care Act.
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