Forces Opposing U.S Health Reforms
The healthcare reform in the United States began almost a century ago, from the debate the many reasons why National health insurance (NHI) proposals have failed includes; ideological differences, the lobbying strength of special interest groups, a weakened Presidency, and the decentralization of Congressional power (Walker et al., 2008). Although the Socialist Party of America had called for insurance for workers, a system of health insurance emerged as a major political issue.
Politics being a major idea over legislation of the health reforms, they met with unfortunate timing, for the developments in the U.S opposed the legislation. Political ideologies towards legislations were bold ideas, these global events proved politically useful to physicians in the U.S changing the political pattern affects the legislation (Walker et al., 2008). The health insurance lobby agreed to support the elimination of “pre-existing” conditions in exchange for a number of industry-favorable provisions.
The United States policymakers efforts have positive outcome but faced with various negative outcomes such as ’high uninsured rate had negative consequences for uninsured Americans, who experienced greater financial insecurity, barriers to care, and odds of poor health and preventable death; for the health care system, which was burdened in uncompensated care; and for the US economy initiated by new technology would have been hard. According to Walker et al. (2008), EHR technology will help to provide international standards for interoperable applications that use health, social, economic, behavioral and a learning health system.
Policy makers should build on progress made by the Affordable Care, although favourism and special interest remain as opposition, existence of an Affordable Care Act demonstrates that positive change is achievable on some of the nation’s most complex challenges.
Walker, J. M., Carayon, P., Leveson, N., Paulus, R. A., Tooker, J., Chin, H., … & Stewart, W. F. (2008). EHR safety: the way forward to safe and effective systems. Journal of the American Medical Informatics Association, 15(3), 272-277.