Implementation of the United State Health Care is one of the biggest issues in the United States today. The passage of Patient Protection and Affordable Care Act (PPACA) also known as Obama Care revolutionized our health care industry. Before the passage of Obama Care, the United States was the only industrialized nation without universal health insurance in part because of Americans tradition of self-reliance on individual responsibility and a commitment to limit the power of the national government. It is also based on the beliefs that the United States cannot afford to cover all the uninsured because it so large and diverse. In addition, the medical profession claimed that they would lose more power than they have already under corporate managed care so they opposed the idea of universal coverage.
The Obama Care is considered very capitalistic, competitive, fragmented, and poorly organized. A capitalist economic system can only result in massive exploitation of the working class. Despite our nation’s deeply held ideals of egalitarianism, people are still subject to insurmountable inequalities of opportunity due to class, income, race, and gender. The United States is the most powerful country in the world and yet millions of people do not have access to basic need such as health care. The Census Bureau reported forty-two million people uninsured in the United States in 2013.
The previous health system was dysfunctional due to fragmentation of the delivery system—healthcare payment model was a mix of private insurers and public programs, each with its own set of rules and payment algorithms. The mix of government and private sector resulted in a complex and fragmented system of health care financing. Employed individuals were insured voluntarily by private sectors while the government financed the poor and elderly. There were no set of policies guiding the health care system and it failed to deliver high quality care that was affordable, accessible, safe, and efficient.
Although the previous health system was the most advanced system of care in the world, yet outcomes were disappointing especially to the poor, racial, and ethnic minorities.