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Threats to the Affordable Healthcare Act and the Effect its Undoing Will Have on Poor People in the U.S.

Info: 2402 words (10 pages) Essay
Published: 8th Feb 2020 in Health

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Being sick or in pain is one of the worst feelings a person will experience. When that time comes, professional care is necessary. Medical care is expensive in the United States of America. “The average cost of a 3-night stay in a hospital is $30,000 (#5)”. Without insurance an individual is responsible to pay full cost. Health insurance helps alleviate the cost of medical bills and expenses, however, paying for coverage plans itself can be pricey. “The official poverty rate in the U.S is 12.3% (#1)”. That portion of the country, plus more, cannot afford to pay for health care insurance. A law is in place that assists lower and middle class individuals with medical needs.

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 The Patient Protection and Affordable Care Act guarantees efficient and quality healthcare at affordable rates. Insurance plans are lowered by providing subsidies- a portion of insurance paid for by the government to lower out of pocket costs-for individuals who qualify. Qualifications vary from state to state, and are based on a household’s annual income. Typically, the lower the total household income, the lower the insurance rates will be. The ACA shields plan holders from unethical insurance company policies. A major abusive practice insurance companies partake in is denial of coverage due to a pre-existing condition. The ACA protects individuals with pre-existing conditions , as well as insure children up to age 26 on their parents plans and cover preventative care.  

  “17.6 million previously uninsured people have benefited from the Affordable Care Act (#3)”. The ACA provides relief for those who need it; Judging by the statistic, theres a lot of individuals who do.  Currently though, there are threats against it. Despite majority of citizens across America voting to keep the ACA as is, congresswants to repeal and replace it. A repeal would either reverse or completely remove the law. Replacing it would put a less helpful program in its place. Recently, the Trump administration released a competing plan with intentions to replace the ACA. The new plans are low cost, however, they cover much less and do not protect individuals from abusive policies. It is completely opposite to the goal of the ACA, which is to provide cheap insurance with maximum coverage and protection.

 In the 1960’s, during Lyndon B. Johnsons presidency, the Medicare and Medicaid programs were established. These programs ensured medical coverage and assistance to individuals over the age of 65 and to all others who could not afford it. This was a watershed in the history of healthcare because the government became financially involved. Numerous efforts amongst various presidential parties over the years occurred to expand federal health care funds. All were failed attempts until 2003, when President George W. Bush enacted the largest expansion of Medicare since its conception.

 In February of 2009, During Barrack Obama’s presidency, a reform on health care was declared. The debate for reform lasted approximately 169 hours, making it the second-longest consecutive session in senate history (Kessler, 2017). The Patient Protection and Affordable Care Act, otherwise known as Obamacare, was signed into law with support from only democrats. By March 2014, Republican leaders in the House of Representatives voted to repeal the ACA 54 times; every attempt was vetoed. Political factors and social class are the core of this issue. One side is in favor of the ACA, the otherside is not. The beleifs of the two parties are opposite and they cannot see eye to eye, therefore, this will always be a controversial issue.

The Republican party gained control of the House and Senate in 2016. President Donald Trump campaigned on repealing and replacing the ACA, therefore efforts to do so were attempted. Three bills were drafted in 2017 aiming to repeal the ACA, they all failed.  In October 2017, Trump ended ACA subsidies. Insurance companies no longer receive money from the government for deductibles. As of right now the ACA still remains in effect. If threats turn into action and it is undone- which is a goal of the current presidential administration- many people will lose their health coverage and benefits; specifically those who fall below the poverty level.

1)     Public Health State Mandate 2018 (408.9091) Cover Florida Health Care Access Program

2)     5th grade Health Education

3)     Everyone gets hurt and sick- it is inevitable. During this lesson, students will be learning about w hat type of medical assistance is needed and when. They will discuss ways to prevent common childhood injuries, accidents, and sicknesses. As well as illustrate and recognize different types of health care professionals.

4)     The students will…

  • Analyze and understand what type of medical assistance is needed and when.
  • Recognize different types of healthcare professionals and their duties.
  • Illustrate a variety of practices to promote a healthy and injury free lifestyle.


  • What are some common childhood accidents, injuries, and sicknesses?
  • What happens when you get hurt? Who takes care of you?
  • What are some ways to prevent a sickness/injury?

6)     WOD:

  • Emergency (N): an unforeseen combination of circumstances or the resulting state that calls for immediate action (#2)
  • Non-emergency (N): Does not require immediate attention.
    1. Have students give examples of emergencies and non-emergencies in life (ex: running late, car accident, spilling milk, etc.).


Content: https://www.youtube.com/watch?v=ulf4oKqTUc8 

  • Students will watch a video explaining what 911 is and when to call.

Method: Through case studies, proper care needed in different situations will be identified.

  • #1: Sam is running on the playground. She trips and falls. She has a minor scratch. What should Sam do?
  • #2: Joe woke up this morning and was unable to swallow and talk. His mother felt his forehead and he was very warm. What should Joe do?
  • #3: Taylor was playing kickball. She fell on her ankle and can’t move it. It immediately bruised and swelled up. What should Taylor do?

8)     Activity: Important Decision Making.

  • A bag containing 40 blocks of 3 different colors will be put in front of the class. Using one hand, each student will have 20 seconds to grab as many blocks as they want. After each student choses their amount, they will tally up their sum of blocks and the color. At the end, tell the students you forgot to mention that one color block costs $1, another costs $50, and the other costs $100. Have the students total up their cost of the blocks- this is how much money they owe you for them.  Explain that knowing little information on a subject can affect the outcome negatively. It is important to know all the facts and correct details before deciding on something.

9)     Assessment: Plan of Action

  • Students will get into groups of 3. Each group will be assigned a topic: fever, broken bone, sprain, burn, cuts/scrapes, flu, concussion, nausea, dizziness, and allergies. A plan of action will be created for the scenario. The following questions will be answered:
    1. What is your topic?
    2. What happens in this situation?
    3. What should you do in this situation?
    4. Is this an emergency or non-emergency?
    5. Who should you see for help?
    6. What are ways to prevent this from happening?
  • The information will be presented to the class for confirmation of comprehension. 

10) Homework: Research will be conducted at home on one type of healthcare professional: a doctor, dentist, nurse, therapist, pediatrician, or EMT. A short essay will be written explaining the duties of that job. An example of when their service is needed will be included as well.

Culturally responsive pedagogy is a teaching technique that focuses on integrating student strengths and cultural interests into lessons. Typical biases need to be thrown out and eyes need to open to diversity and alternative ways of completing tasks. This is done so students can personally relate to new information.

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The implications of the undoing of the affordable care act could have a direct effect on future students of mine. It is a possibility that some students may not obtain healthcare, therefore may not be in the best health conditions. It would be beneficial to create a culturally responsive lesson pertaining to strategies and practices to remain healthy. Since hygiene and health are different all over the world, different cultures and their practices could be discussed and observed. Teaching potentially controversial curriculum scares me. I don’t want to offend anyone or provide incorrect/ one-sided information. Sometimes it’s clear to see when you are being one-sided, other times though, it’s not until someone points it out. I believe this is why issues of inequity are labeled controversial. Everyone has their own opinion of what is right and wrong. What’s unethical to one person might be ethical to another, therefore making an issue potentially controversial- even if it’s not intended to be.

No one benefits from labeling an issue controversial except for the individuals that view it that way.  I would not feel comfortable teaching controversial content, especially for under-represented and oppressed groups, until I have an overwhelming amount of background knowledge and facts on the matter. Proven, reliable, and accurate information is the only information that should be shared with my students. To create social activists in my classroom, I would urge students to research a matter they are passionate on and familiarize themselves with all the information they can on the topic. One can only take action on matters they’re aware of.


  • The Patient Protection and Affordable Care Act: implications for public health policy and practice. (2011). Public health reports (Washington, D.C. : 1974)126(1), 130-5.



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