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Please write a Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source


The United States was trying to improve the health care system by passing the Affordable Care Act through legislation so they could provide healthcare to the rich and the poor person. According to Amadeo (2018), four reasons that we needed healthcare reform in the United States. The reasons included health care costs were increasing, improve the quality of life, lack insurance and decrease fraud. According to American Public Health Association, the Affordable Care Act (ACA) was needed because over 16% people did not have insurance in the US. The ACA has assisted more than twenty million people with health insurance coverage but over twenty nine million still need health insurance. We have a long way to go to improve health insurance for all the people. The ACA has assisted by reducing spending but health insurance is still high for some families. Even though the ACA has been available for the patients but our health outcomes are poor. The ACA has shifted its focus from treatment to prevention and maintenance. Many insurance companies encourage and have requisites to obtain insurance the member has to complete health surveys for prevention. Many people buy insurance from their work companies because health care is so expensive. Insurance companies charge the employer premiums and still charge the member monthly dues and co-payments. There is a charge of co-payment due to the member every time you see the primary care physician, consulting physicians, laboratory, radiology procedures, urgent care or emergency care for each member of your family.

The ACA will need time to improve the patient outcomes and make further progress because not many people like change. There are both positive and negatives to ACA. The areas that need improvement for the patients who are not employed have difficulty paying the out-of-pocket costs. Some patients have to pay thousands of dollars and are unable to pay if they need care. People who are illegally here are not able to obtain insurance. If the illegal patient comes to Emergency Department, as healthcare workers we cannot refuse care if they need assistance.

According to Institute of Medicine (IOM) (2018), nursing will be driving force of primary care and prevention to assist the patients. Nursing has the ability to collaborate with other disciplines to obtain positive outcomes for the patient. Nursing is the largest work force in America who will be primary people to assist the patients in prevention of diseases.


Amadeo, K. (2018). Why reform health care. Why we need health care reform. Retrieved from

American Public Health Association (APHA). (2016). Why do we need the Affordable Care Act? Making progress on critical health system problems facing the United States. Retrieved from