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After a decade of having the Affordable Care Act (ACA), Congress is trying to re

After a decade of having the Affordable Care Act (ACA), Congress is trying to repeal it without having a suitable replacement or solution. America still needs total healthcare reform to be back on the right track. Many analyses showed that repeal can decrease federal government spending on healthcare by $927 billion between 2017 and 2026 (Buettgens et al., 2016, p.1). When you remove a program that many individuals rely on, it can cause consequences that can affect the country dramatically. This repeal would make 24 million uninsured people who are not elderly (Buettgens et al., 2016, p.1). That is crazy to think that one program repeal can affect so many individuals. The statistic also showed that 14.5 million fewer individuals would be on Medicaid coverage (Buettgens et al., 2016, p.1). More than 9.4 million individuals would not receive a tax credit for private health coverage (Buettgens et al., 2016, p.1). A vast negative would be that state spending would increase by $ 68.5 billion for uncompensated care (Buettgens et al., 2016, p.2). Repealing ACA would mean that less healthcare is provided to modest to low-income individuals, causing stress to the families who can deteriorate their health.
The question, “do voters influence governments’ policies” is an old age question. Many studies showed no direct correlation between individuals’ preferences and countries’ policies, but higher electoral turnout can have an effect (Hooghe et al., 2019). Many claims that citizens only get to elect their political leaders and do not play much difference in policies that the leaders pursue (Hooghe et al., 2019). I am afraid I have to disagree with that statement. As nurses and people of society, we lack knowing who our senators and representatives are, which hinders in making a difference in policy making. Taking the time to know state representatives and senators is critical to making a difference because much professional regulation occurs at the state level (Milstead, 2019, p. 44). Politics is at the heart of the “people process,” where “people-centered endeavors, the relationships among and between people determine outcomes in the political process” (Milstead, 2019, p. 44). As nurses who are part of being citizens, let us get to know our elective individuals and learn the process so we can make a difference in policy making.
Buettgens, M., Blumberg, L. J., Holahan, J., & Ndwandwe, S. (2016). The cost of ACA repeal. Urban Institute, 1-22. https://www.urban.org/sites/default/files/publication/81296/2000806-The-Cost-of-the-ACA-Repeal.pdf
Hooghe, M., Dassonneville, R., & Oser, J. (2019, March 26). Can voters influence social policy?. Democratic Audit. https://www.democraticaudit.com/2019/03/26/can-voters-influence-social-policy/
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.
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