JAMA published an article written by President Barack Obama titled “United States Health Care Reform: Progress to Data and Next Steps.” In this summarized dissertation, President Obama outlines the ways in which the Affordable Care Act (ACA) has succeeded and additional progress that’s needed. What caught my attention the most from this article is the prevalence of political tensions regarding the ACA and our healthcare system. For example, Obama asserts that 19 out of 50 states, as of July 1st this year, have not agreed to broaden their Medicaid programs. Also, he releases that, although his administration succeeded in passing 19 bills in support of aspects of the ACA, it has fought over 60 bills threatening to remove the ACA. The Republican Party has been shown to oppose the ACA is numerous other ways as well. The conflicting views of our nation is a major impediment to advancement of health care in the United States.

President Obama specifically warns our nation to work to improve the ACA along with other aspects of our healthcare system. Donald Trump, supporting the Republican Party, advocates removing Obamacare and all of the progress the law has made since 2010. He attacks the aspects of our healthcare system that the ACA has failed to address, which are increasing premium costs and decreasing quality for patients during medical visits. His problem with the ACA seems to be that it hasn’t done enough, which Obama asserts that further improvements require an incremental approach. Trump simply proposes, for his health care reform, that citizens use Health-Savings Accounts, but HSAs have already been implemented. This and other inconsistencies involved with Trump’s health care reform platform is troublesome, eventually if he becomes president. I believe that Clinton has a more effective approach; she advocates Obama’s work in health care reform and proposes to further health care progress began by President Truman.

Two improvements that need to be made to the U.S health care system are expanding health care insurance to provide for people who can’t afford it, and improving the quality of care. Obama addresses the first of this issues by claiming that citizens may not be aware of the financial benefits involved with the ACA or simply need more financial assistance. The second issue is a direct product of the ACA. Because the ACA promotes more insured Americans, hospitals and clinics receive more patients. The huge increase in number of patients compared to a much slower increase in medical professionals is a problem.



  1. I agree that repealing the Affordable Care Act at this point would be a mistake. Starting with Truman, health care in America has slowly but surely progressed, and a sudden regression like repealing Obamacare would have grave repercussions, while still not solving the issues of rising premium costs and decreasing quality of care. I think another way to improve the U.S. health care system is to place a greater focus on preventative care. It is both easier and more cost effective to prevent people from developing health issues rather than treating them once they appear. In order to do this, the definition of health care needs to be expanded into a social aspect, as many health issues arise out of lifestyle choices such as obesity and smoking. If the government can subsidize more programs to improve the lifestyles of Americans, such as addressing food deserts, both the quality of health care and of life in America will increase significantly.

  2. I agree that removing the ACA would be a terrible move. Doing so would send America’s healthcare policies several steps backward into a hole from which it would take an incredibly long time to crawl out from. However, it’s also true that the ACA is far from perfect and several changes need to be addressed with it. Like you’ve said, the ACA needs to be expanded to more citizens who need it, as quite a few citizens lack health insurance and the means to obtain it. Additionally, the quality of care should be increased, such that those who are insured and suffer an injury or ailment can receive adequate care.

  3. I agree with the point you made about this seeming to be a Republican vs Democrat issue with a lot of opposition for the ACA coming from the right side. If our next president, whoever it may be, decides to repeal the ACA it wouldn’t only have been a huge waste of time for President Obama, but a waste of time for the presidents before that have fought for health care and also for the citizens who have gone through the complicated process of enrolling in Obamacare.

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