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    Select a health care policy and identify the impact economics, political, and legal/ethical issues had on the development of that policy.  


Subject Nursing Pages 2 Style APA


Impact of Economic, Political and Legal/Ethical Issues on the Development of the Affordable Care Act (ACA)

            The Patient Protection and Affordable Care Act also known as the Affordable Care Act (ACA) is a healthcare policy that elicited numerous legal, political, and economic, issues. ACA was designed to slow the rate of increase in healthcare costs and enable people from all walks of life access quality healthcare services (Wallack, 2013). This paper seeks to evaluate the economic, political, legal and ethical issues that came into play during the ACA development.

            Economically, the ACA policy would increase the amount of money deducted from taxpayers to cover the insurance expenses (Wallack, 2013). Besides, the incorporation of the policy would cost people employment as employers considered paying a penalty less costly than purchasing insurance plans for them. In the short term, the coverage increased the costs of healthcare since people would receive testing and preventive care which were not covered previously (Selker, 2013).

            Politically, the ACA faced opposition from the Republicans in the house as an ineffective policy. The policy was used as a campaign tool by President Obama in order to garner votes from the majority low-income earners. As a result, the upper class felt negatively affected which led to a division on the support of the act in the house (Selker, 2013).

            The Act legally reduced the cost of health insurance and not the cost of healthcare. This implies that typical families would pay approximately 2500 dollars lower per year for the premiums but receive service quality when they visited health centers (Wallack, 2013). The plan received ethical criticism in that it was intended to lift the burden off the low-income earners and place it on the companies instead of each individual paying for the healthcare they access.

            In conclusion, the Affordable Care Act was faced with various economic, political, legal and ethical issues during its formation.  However, it had a positive impact on the US health budget which saw its successful implementation.



Selker, H. P. (2013). Introduction: The Affordable Care Act as a National Experiment.

The Affordable Care Act as a National Experiment, 1-5. Doi: 10.1007/978-1-4614-8351-9_1

Wallack, A. R. (2013). The Affordable Care Act as an Experiment: Data We Have, Expect

to Have, and Should Have, from a Vermont Pilot Study. The Affordable Care Act as a National Experiment, 45-56. Doi: 10.1007/978-1-4614-8351-9_6
















Appendix A:

Communication Plan for an Inpatient Unit to Evaluate the Impact of Transformational Leadership Style Compared to Other Leader Styles such as Bureaucratic and Laissez-Faire Leadership in Nurse Engagement, Retention, and Team Member Satisfaction Over the Course of One Year

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