Wednesday, 20 December 2017 08:03

ACA and the Uninsured Population: California Featured

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Obama's administration established the affordable care act (ACA) with the purpose of ascertaining the American populations have access to quality healthcare services. ACA was introduced after the realization that the majority of the American public struggled to access basic healthcare services. The Introduction of ACA meant that the majority of the public could enjoy quality healthcare services. The passing of ACA also increased the overall number of individuals with health insurance coverage. Different American states began to implement ACA within their health systems. The paper addresses the implementation of ACA in California.


Impact of ACA

The passing of ACA called for states to establish state insurance exchanges. California became the first state to initiate health provisions as provided in the affordable care act. The health plan was known as covered California. Covered California is joint health initiative with the department of healthcare services. The overall objective of covered California is to ascertain a large population of California access health insurance. The ease of access of health insurances guarantees the access to quality healthcare services thus an increase in the overall health of the public. The covered California initiative was unveiled with the intention of providing the California population with affordable healthcare services. Additionally, covered California provided the Californian public with quality health insurance options. With a diversity of health insurance options, the public had the ability to make a choice, in relation to health insurance package that suits their budget (Milstead, 2013). The introduction of the new healthcare coverage also gave hope to individuals with pre-existing conditions. Patients with pre-existing conditions were not coverage by their insurance providers, prior to the introduction of ACA. However, the introduction of the bill saw individuals with pre-existing conditions enjoy healthcare coverage. Covered California also gave residents an opportunity to seek financial assistance, in an effort to access affordable health coverage. Under covered California, over 1 million people received insurance coverage. Other residents also accessed free healthcare services while others accessed low-cost coverage that was offered through Medi-Cal. Overall the introduction of affordable care in California improved the overall delivery of healthcare services in the region. ACA also ascertained patients had access to fair and equal healthcare services (Sorrell, 2012).

Economic Perspective

From an economic angle, the use of the guidelines provided in ACA requires the injection of funds into the healthcare industry. The injection of more funds means that the healthcare will expand to accommodate an increase in individuals accessing health care services. The introduction of affordable insurance services also means that households will have to adjust their spending and expenses as they take insurance coverage that they can afford. Health insurance organizations also experienced economic adjustments as they had to widen their coverage. The introduction of guidelines on the provision of insurance coverage to individuals with pre-existing conditions meant that insurance providers had to prepare themselves, in relation to additional expenses. There are also organizations where employers provided their employees with healthcare coverage (Milstead, 2013). The introduction of ACA guidelines means that employers will have to strain their budget to accommodate all their employees and their dependants. The scenario may have been unexpected for most organization hence the likelihood of serious financial crunches. As a protective measure, the employer may opt to reduce the total compensation that the employee takes home, but provide a comprehensive healthcare package (Lawrence, & Cummins, 2014).

Affordable health and the Public

The Californian public will be the greatest benefactor of the implementation of the affordable care act. First, the implementation of the act will increase the chances of accessing quality healthcare services. Patients who had struggled with financial difficulties, in relation to the costs of healthcare services 2will, enjoy affordable care. ACA enables individuals to access health services at an affordable rate. ACA has health insurance options that are broad and affordable (Sorrell, 2012). Patients will thus access quality services that will be covered with their healthcare provider. Prior to the introduction of ACA guidelines, patients without the financial means to access quality services had to seek alternative medication and health services. The alternative services were substandard, and recovery was not a guarantee. The ability to access quality healthcare with ACA meant that the Californians were healthier that before. With quality treatment, patient regained their health quickly. The accessibility to treatment also improved. Patients who did not have insurance cover or had restrictive insurance cover had to seek healthcare facilities that could assist them. Traditionally, health insurance providers also limited patients, in relation to the healthcare facilities that they could visit (Lachmna, 2012). A patient would thus be prohibited a health care facility yet it is the one that offers the healthcare need that the patient requires. However, the introduction of ACA guidelines into the healthcare system in California opened the accessibility of quality healthcare services. Patients had access to the best treatments offered across the state. Additionally, patients that were insured could access treatment through the government funded insurance program Medicaid. Overall, mortality and morbidity rates are expected to reduce with the implementation of the ACA healthcare guidelines (Lawrence, & Cummins, 2014).

Ethical Implications

ACA gives hope to the California public that is uninsured and thus cannot access quality healthcare services. ACA will serve the homeless, the elderly and those afflicted with terminal diseases. The passing of the ACA legislation is thus ethical as it benefits individuals who are in dire need of assistance. Individuals will no longer drown in debt due to treatment costs as their insurance providers will cover them (Sorrell, 2012). Patients and their families will save for their future, with the introduction of Affordable health as healthcare services will be affordable. Overall, California will have a healthier population that before. Deaths from preventable disease will be an issue of the past as the public will receive preventive and curative services.


California was the first state to revise its healthcare system to fit the affordable care guidelines passed in 2010. California expanded its Medicaid program by introducing Medi-cal, which covers individuals below 65 years; individuals with disabilities, or individuals with incomes that are less than $15,000. The state of California also worked with the federal government to reduce the overall cost of health coverage for individuals and families. The Californian public thus receives assistance with the payment of their premium package. Overall, the legislation of the affordable care act has had a positive influence of the Californian population. The public enjoys access to quality healthcare facility. Patient’s access to quality healthcare services has improved as prohibitive costs no longer hinder the public. The implementation of the guidelines provided in the affordable healthcare act is the most ethical act by the state of California as it is a guarantee of a healthy public.


Milstead, J. A. (2013). Health policy and politics: A nurse's guide (Laureate Education, Inc.). Sudbury, MA: Jones and Bartlett Publishers.

Sorrell, J. (2012) Ethics: The Patient Protection and Affordable Care Act. The Online Journal of Issues in Nursing Vol. 18 No. 1.

Lachmna, V. (2012). Ethical challenges in the Era of Healthcare reform. Ethics, law and Policy. Vol. 21(4)

Lawrence, D. & Cummins, J. (2014). California: the politics of diversity. Cengage learning

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