Urban Public Administration: Policy Issues Under Trump Government

This report examines the administrative and policy changes implemented by the Trump administration in the United States, focusing particularly on urban public administration. It discusses the dismantling of Obamacare and its potential impact on healthcare access for millions of Americans, along with the broader implications of deregulation efforts on environmental, transportation, labor, and consumer protection. The report also explores the administrative procedures act and how it governs the federal government agencies in the United States. It further analyzes the government's approach to consumer protection, including changes to subsidies and birth control coverage. The policy aims of Obamacare, including expanding health insurance coverage and minimizing costs, are contrasted with the Trump administration's actions, raising concerns about the future of healthcare accessibility and affordability in the US.

Running Head: Urban Public Administration 1
Administrative or policy issues in the US by Trump government recently

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Introduction
As soon as Donald Trump elected and moved in the white house, a long series of both
foreign policies and radical domestic reversals are made. The president even tried to bring
many changes in the American administrative policies. The commander-in-chief of Trump
government has also viewed by undoing few of the signature achievements of Barack Obama,
including Obamacare. Before that Trump has also tried to scrap the signature healthcare
reforms of Mr. Obama that are known as a complete and entire disaster (Abadie, Diamond &
Hainmueller, 2014). He had even promised that laws would also get replaced through
undertaking the new measures simultaneously and got replaced and these changes will be
reflected soon. This paper will discuss about the administrative policy of America, in which
few policies will be changed by Trump government as per their plan. From the available
policies, Trump government is planning to dismantle Obamacare policy that will impact
many people of America, who don’t have healthcare insurance. The policy is also discussed
with the help of theory.
Administrative policy
The Administrative Procedure Act (APA) 79-404, 60 Stat. 237, was enacted in the
year 1946, is considered as the American federal statute, which assists in governing the
manner in which agencies of administration of federal government in the United States might
try to propose as well as set up the regulations. For protecting the citizen, it is analysed that
APA was also granted with the judiciary over every action of the agency. It’s referred as one
of the most significant parts of American administrative laws, and this act came as a law in
the year 1946. The Administrative Procedure Act (APA) is implemented by both the
independent agencies as well as federal executive departments. According to Pat McCarran,
senator of U. S, which had mentioned APA as the bill of rights for many Americans, whose

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affairs are regulated or either controlled through the agencies of federal government (Ahearn,
Williamson & Black, 2015). The APA text can be explored at Title 5 of U.S Code, in starting
of Section 500.
This is same as Model State Administrative Procedure Act that was mainly drafted
through the Uniform State Laws or National Conference of Commissioners, to omit the state
agencies (Ahearn, Williamson & Black, 2015). Not every state has implemented the
wholesale model law by the year 2017. The APA federal don’t require to have the systematic
regulations oversight after the adoption of Model APA.
The legal framework of Administrative law, working in the public administration is
initiated. It is attained through the requirement to develop and create the public
administration system as per law. It’s a concept that can be compared with other previous
notion of justice as per the law (Amato & Schreiber, 2013). As administrative includes the
power exercise through the executive government arm, administrative law is related to
political, constitutional, along with juridical. There is no universally recognized definition
related to administrative law, but importantly it might be considered for covering the powers,
organization, duties, as well as functions described with public authorities of every type,
which is connected with administration; their connection with each other and with
nongovernmental bodies and citizens; legal ways for controlling the administration of public,
along with liabilities and rights of officials (Anderson, 2014).
Administrative law is at colossal extent complemented by the laws of the constitution,
and it is noted that the line between is quite challenging to draw (Angell, 2013). The national
legislature organization, court structures, cabinet characteristics, along with the head of the
state role is primarily considered as the purpose of the constitutional law, in which both the
procedural and substantive procedures are linked with local and central governments, as well

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as judicial, administrative review, that relates with administrative law. In some issues like
ministers, responsibility can never be assigned exclusively as per constitutional or
administrative laws (Arnold, 2013). According to American jurist, administrative law is
referred as the constitutional law parts.
The law associated with the education, health, public services and housing can be
primarily considered under the administrative law, but due to the sheer bulk, it is most of the
time referred as ancillary (Auster, Wylie & Valente, 2005).
In America, Donald Trump is presiding over the devastating, withering as well as
trenchant attack over the administrative state of America, which is every seen by this nation.
The administrative state, which is also known as the modern American government pillars is
linked with creating and enforcing the environmental and economic regulations, running and
designing of social welfare programs, fighting corruption and crime, and offering national
defence and many more (Bailey & Chorniy, 2016).
In the last nine months, the government of Trump had made its aim and bulled its eye.
Beyond public gaze, the government of Trump has tried to roll back, rescinded as well as
reverse many environmental, transportation, labour, education, consumer protection and food
and drug regulations (Baker & Jorgensen, 2015). Liberty hugely improves the deregulatory
efforts, which create issues over the health, safety and Americans welfare, which is not
mentioned as for right for rest of the world that rely on America for combatting towards
banking and security frauds, global warming and exploitation of employees (Baker &
Jorgensen, 2015). Simultaneously, Trump is trying to slander the bureaucracy, the sizeable
political community, officials that work for designing and demanding the compliance with
the regulations of administration through congressional designs as well as long-time

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practices, impulsive, proper position to respond, and issues related with directing the sudden,
abusive as well as hyper-partisan president (Barker, Pistrang & Elliot, 2015).
In America, Donald Trump is the first president that had railed against all the
administrative states or had made promises to offer substantial federal bureaucracy
downsizing, but so far it’s still referred as unflinching. But in various aspects, the rollback of
instant policy and recession are not the crucial ones. Trump has taken no steps for
deregulating it. Trump along with his lieutenants are also trying to damage the regulation
machinery to certain extent, which cannot be swing back into action by federal agencies, as
they are not so capable of doing so, when outcry bust over environment, health and safety
protections and labour propel towards the pro-regulation in the office of American president
(Bates, Suchi, Ohno-Machado, Shah & Escobar, 2014). According to consumer protection,
all the subsidiaries, which were under the act of Obamacare are wiped out by the present
government. All the federal funds were given to the insurance firms, in order to provide them
with cheap plans for the people living below poverty line. Trump in his tenure has abolished
the Obamacare in the month of October, and in the result of that, premiums over the cheap
plans have increased from 7to 38%. According to Congressional Budget Office, it is
calculated that this action will add around $194 billion over the federal deficit by the year
2026 (Behara & Gunderson, 2015). It still exists a chance. Nevertheless, Congress will try to
refund all the funds. After the dismantling of this policy, employers had refused to include
the birth control under the insurance policy. In contrast with the actual rules of Obamacare,
all the employers can now quickly go for paying for taking contraceptives for their staff
through claiming that they have religious and moral objections. After the dismantling of this
policy, many women might lose to have access to take contraceptives (Belatti, Pugely,
Phisitkul, Anedola & Callaghan, 2014). The American government is also ready to pay for

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the legal fees for the community, which had previously used the administration of Obama for
attaining the mandate to take a turn.
Policy issues in the US by Trump government recently
Policy Aim
The aim of this policy is quite simple to extend, where the coverage of health
insurance to an individual extent is calculated to around 15% of the total population of
America that lack it. People who didn’t receive the insurance coverage through their
employers are not included in the health programme of America for elderly and poor were
part of Obamacare. To attain this, the law needs that every American should have their health
insurance, but it provides subsidies for covering the affordable (Bernardi, 2014). It also aims
to minimize the price of insurance through bringing young, as well as healthy people in the
system of medical coverage. It also needs that businesses having mor0e than 50 employees
should provide this health insurance.
This law aims to create the marketplace, which is run by states over the websites that
are akin towards online shopping and travel sites, where individuals can quickly try to
compare the cost when they shop for covering it. Individual states had not taken part in ACA,
and the community residing there can easily buy the online market plan through the help of
federal government (Blavin, Shartzer, Long & Holahan, 2014). Along with this, the law had
tried to ban the companies of insurance through denying them with offering health coverage
to individuals having the pre-health conditions, permitting the young people to stay over the
plans of parents till they get 26, and then afterwards expand the eligibility towards the
government-run programme of Medicaid health for poor and elderly people. The aim of this
law eventually has gone little slow for the expansion of healthcare spending in America that
is highest all over the world (Bloodgood & Morrow, 2003).

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Benefits of Obamacare policy
It is examined that around 22 million people will lose the medical insurance in case
Obamacare is repealed. The law provisions try to take care of the accessibility to the one that
was previously shut down. The rate of uninsured has also reduced to around 5% since the
beginning of the program. There are specific provisions related with this law, such as,
children can easily stay with the healthcare plan of their parents by the age of 26; everyone
will be allowed to take insurance as per their pre-existing medical condition, and
organizations cannot charge the women more as compared to men (Blumenthal & Collins,
2014).
Dismantling Obamacare by Trump Government
Two extraordinary steps were taken by Donald Trump under their health law
signature, which tries to measure the damage, which will take to Obamacare, despite all the
repeated Republican failure in Congress for repealing it. For attaining the access to less
comprehensive as well as cheap insurance, which is predicted by the experts might lead
towards the health plans for the patients to get more costly by the executive orders made by
President of America (Buchmueller, Carey & Levy, 2013). The surprise notice was issued by
the American president by federal subsidizing and underpinning the system. The actions
taken by Trump government can quickly undermine the marketplace of health for many
Americans, which are dependent upon it and this policy will also hurt most of the vulnerable
population of America.
President of America spending on his campaigning had faced many issues due to his
vague promises that relate with replacing the Obama health law that increases its coverage to
around 20 million individuals, and he is also frustrated by the inability of his fellow
Republicans to coalesce near the plan (Burwell, 2015).

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Trump Actions
Just like other developed countries, America fails to have a proper national health
system, and as the Americans have the most costly healthcare system in the world, even the
trip of the hospital can be ruinous in the financial system, and that’s why insurance in
healthcare has become a necessity for Americans. In America, most of the people are taking
insurance in three ways, such as by the program of government for both elderly and poor and
its known as Medicaid and Medicare; through employer and through internet marketplace,
which is established by Obama Affordable Care Act started in 2010 (Busom, Corchuelo &
Martínez-Ros, 2014). It’s among that marketplace, which is affected by the initiatives taken
by Trump. The group applying the marketplace is highly dominated by the small business
owners as well as self-employed. Plans of the marketplace are highly regulated with the help
of standards set of advantages, which includes mental health care, maternity care as well as
prescription drugs. Trump had tried to change the system in two manners.
First is through signing the executive order, for permitting the insurers of health to
sell out the loosely regulated, as well as cheap plans that are outside the marketplace, and its
known as association health plans, and the same relies on the idea that in case of small
businesses they should band itself for attaining better rates through the insurance firms
(Carlson, Lennox Kail, Lynch & Dreher, 2014). Conservatives mention that this can turn the
insurance of health in what is known as financial items that are meant for the emergencies
and is highly designed exclusively for the middle class. It also includes the progressive
groups, and these plans are known as junk, as they might consist of few benefits and might
not contain the people when they require it most.
Secondly, Trump had decided for not funding the government subsidiaries by giving
insurance firms under the Obamacare, in order to make the health insurance even less costly

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for the people coming from the low-income group. It’s known as cost sharing minimization.
For meeting this, Trump only need to make an announcement, because as per the rule, the
court can quickly rule out the illegal subsidiaries before the administration left the Obama
office, and before they had time to appeal (Chan, Fung & Chien, 2013).
What’s the reason behind doing this?
From last seven years, Republicans had started their campaign against ACA, which
they refer to the unwarranted intrusion of government within the private industry and for
finishing the mandate related to the high-cost plan of insurance. Nevertheless, after attaining
the presidency control, Senate and House in 2016 election, they didn’t agree on how actually
to replace the law. Dismantling Obamacare might leave more than 20 million people in
America to have no healthcare insurance because it’s a prospect that has to brighten as an
uproar. Public approvals related to the health plans of Republicans is approximately 20%
(Charach, Yeung, Volpe, Goodale & dosReis, 2014). It was analysed that Republicans also
suffered through the embarrassing failure caused after they try to pass the bills by the help of
Congress. As Trump is asking for the repeal of Obamacare, it was also insisted by him to
implode, that Obamacare should get fail as things will go more comfortable for him, this was
mentioned by Trump himself after one of the legislative failures in the summer session.
Through the subsidiary characterization that used to help poor and act as a bailout for the
insurers as well as health plans solutions in case of Obamacare nightmare (Diaz, 2015). The
government has also made the implosion to happen it more.
Who will be impacted by this?
From the dismantling of Obamacare policy, sick, poor, women, old Americans and
mainly the small business owners will be impacted by the move of Trump, as per the doctors
of America. Around 12.7 million of the American population depends heavily on the

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marketplace of health insurers as created by Obamacare. According to the joint statement
made by six of the American physicians mentions that executives orders of Trump over the
low price plans might create a crucial economic issue to both older and women, sick people
of America that stand to face the problem of the high price as well as fewer options of
insurance (Dillender, Heinrich & Houseman, 2016). According to Democrats, these actions
might create serious problems, as the same might damage the structure of healthcare in
America. As per Chuck Schumer of democratic congress leader and Nancy Pelosi, who is the
representative of Congress had mentioned this action as the spiteful act of vast as well as
unless sabotage. Susan Collins, who is the Republican senator and whose vote had supported
in bringing down the repeal plan of republicans mentions that Trump has finished the
significant subsidy, which assists the low-income population of America (Gai & Minniti,
2015).
Policy issues
The new Congress and President of America had come up with few significant problems
related to health policy:
• Resolving the upcoming Affordable Care Act (ACA).
• Slowly expecting the national health growth spending over the private level and at the
level of federal states.
• Medicare program reforms in the manner, which enhances the Medicare HI Trust Fund
life and also try to moderate the expansion of Supplementary Medical Insurance trust fund for
making sure about the viability of program for attaining more benefits (Gallman, 2016).
• In the year 2012, Supreme Court ruling had explored that constitutional ACA had struck
within the provision by mentioning that states had to bring change within how they can
administer the health program of government, Medicaid. According to the Obamacare, it was

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expected that states should enhance the number of people that get qualified to attain Medicaid
that is primarily for the poor people and in turn, the federal government will offer states with
more funds (Gallman, 2016). It is mentioned by the court that states can easily select not to
take part in the expansion of Medicaid. In result of that, both the working class and low-
income families that were not qualified to receive Medicaid explore themselves to pay for
taking the private insurance.
• Insurance firms are backing to make a part in Obamacare due to the fewer Americans than
expected are signing in; this is return increases the cost of insurance for each, that later on
increases the participation (Geslison & Jacobs, 2013). For few Americans that come in a
range of the middle-income group, the available subsidiaries for purchasing policies of
Obamacare is not considered as generous and is excellent for covering too less for initiating
them to go and enrol into the health plan (Giaimo, 2013).
• Premium are mainly to get increased by around 25% by the year 2017. This kind of
increase is highly predicted at the beginning of law as well as subsidies of government to
assist in paying the insurance that will also rise. But for the one who can be included under
the Medicaid expansion is not liable for taking subsidiary.
It is analysed that the American payment system and healthcare delivery is highly
extraordinary challenging. The changes in the proposed policy include the controversial
trade-offs and are also challenging to clear for most of the voters. There are three problems
which are highly linked with one another (Krizan, Luque & Zawacki, 2014). For instance,
ACA has raised the federal spending for the health through developing the subsidies, to buy
the health insurance as well as the expansion of Medicaid. Simultaneously, it had also
minimized the Medicare spending and has come up with reforms to make the delivery of

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healthcare efficient. Therefore, ACA repealing is entirely make the reforms of Medicaid and
concern for spending more challenging to get resolved (Lahm, 2015).
Theoretical framework
After the repealing of Obamacare, more and more people are coming in favor of
Affordable Care Act as compared to the one, who are against it. Simultaneously, more people
had started believing that it’s the right idea, instead of a bad idea, as shown by NBC News
and Wall State Journal survey poll results (Leonhardt, 2015). There are specific reasons,
which might create balance in tipping. I might also enhance the participation in Obamacare,
which has slowly tipped in the survey polls. It might be that messaging of Democrats will
reduce the covering of sinking it. But as per the especially compelling theory, it might mix it
with relative deprivation theory (Leonhardt, 2015).
Regarding sociology, the theory of relative deprivation relates with the perception of
both movements and social change as per the people taking action for bringing social change
for acquiring something, such as status, wealth or either opportunity, which is possessed by
others and for which they believe they should hold it. There are many sociologists who think
that relative deprivation theory discusses why the people should try to join for the advocate
social change as well as social movements (Liu & Jin, 2015). For instance, in this
perspective, gay people had also joined this movement for conducting gay marriages to
acquire something, which they believe that others should also possess it; it should also be
relative for the people like gay marriage advocates to be supposed, that it's deprived. It is
claimed by critics that the theory of relative deprivation fails in explaining why sure people
try to join the movement, which most apparently don’t offer any advantage directly.
According to relative deprivation, it explains to get deprived of things, which the
people feel they are entitled to attain it. For instance, they used to make hold of it, expected