Reflection on Affordable Care Act 2010: Changes and Reforms

Running head: HEALTH CARE PRINCIPLE AND POLICY
HEALTH CARE PRINCIPLE AND POLICY
Name of the student
Name of the university
Author note

HEALTH CARE PRINCIPLE AND POLICY1
Reflection is the process of retrospection that helps individuals to look upon their past
actions and understand the scope of modification or improvement that would make the
process free from errors (HealthCare.gov, 2019). The Affordable Care Act was implemented
by the former President Obama in the year 2010 to provide the healthcare system of the
United States of America with comprehensive reform. However, there are multiple aspects
that requires reform or modifications in this ACA 2010 (Béland, Rocco & Waddan, 2018).
This reflective paper would include all the aspects that I would have changed or reformed in
the ACA 2010, if I were the president.
Healthcare system of United States of America has recently developed universal
healthcare act or system for development of uniform healthcare facilities and to mandate
healthcare coverage to every person of the society (Fletcher, 2016). However, there are
multiple complaints that care service users has registered through their feedback of ACA in
which higher cost of care services prevails (Pauly, 2018). Due to this reasons, more than 70%
of all deaths in USA occurs due to the chronic diseases and affects more than 45% of the
population (Grace et al., 2015). Hence, as a president my first attempt would be reducing the
cost of healthcare so that the care services could reach to every section of the society,
irrespective of their financial abilities or disabilities. The second aspect that I would change
or reform in the ACA 2010 would be the tax slab and the bifurcation of tax exemptions due to
which the tax for healthcare increased from 1.45 percent to 2.35 percent with 3.8 percent of
Medicare tax. Hence, these are the policies and regulations of the ACA which I would
identify and would try to reform with effective replacements (HealthCare.gov, 2019).
As mentioned in the report of Berger and Hansen (2015), it was mentioned that due to
the improper tax bifurcation and tax exemptions provided to the lower income population,
and small businesses, the complete pressure was built on the high income population and
large organisations. Through these tax exemptions, the smaller income businesses found