The Impact of the Affordable Care Act on North Californa Uninsured

TheImpact of the Affordable Care Act on North Californa UninsuredPopulation

TheImpact of the Affordable Care Act on North Californa UninsuredPopulation

Thegovernment has the primary responsibility of ensuring that healthcare services are affordable, accessible, and meet the requiredquality standards. The affordable Care Act formulated in 2010 wasformulated to address these issues by ensuring that the previouslyuninsured people are covered and help the people of the United Statestake charge of their health care (Silberman, Cansler &amp Goodwin,2011). This benefited the larger number of the uninsured populationof Californa by relaxing the criterion for eligibility for medicalprograms, especially the Medicaid. The Affordable Care Act achievesits objectives in Californa by giving the uninsured population anopportunity to access affordable as well as quality medical insuranceand by containing the escalating health care cost. This case studyaddresses the impact of ACA on uninsured residents of Californa, itseconomic impacts from the organizational perspective, the ACA effecton quality, accessibility, and cost, as well as the ethicalimplications of the act.

Impactof ACA on uninsured residents of Californa

Theaffordable care Act has two major impacts on the previously uninsuredpopulation. First, the act increased the accessibility of qualityhealth care to the people who could otherwise not have accessed it.This has been achieved by relaxing the eligibility criterion forenrollment into Medicaid. Before the enactment of ACA, eligibilityfor Medicaid was restricted to certain groups (such as low incomepersons with disabilities, children, and parents), and excludedothers, including adults who had no children irrespective of theirfinancial status (Kaiser Family Foundation, 2014). From the case, ACArequires states to simplify enrollment for Medicaid, conduct outreachto ensure that vulnerable populations are covered, and allowproviders to enroll eligible persons on the spot. This implies thatthe government of Californa will take an active role of reaching awider group of vulnerable groups, thus improving their access tohealth care. Secondly, expanding the coverage to a larger number oflow incomes earning people will improve their economic status byprotecting them from escalating cost of health.

TheACA impact of economics of providing health care to patients

AlthoughACA subsidies and expansion of public insurance increased publicspending, local firms will get three major economic benefits fromsuccessful implementation of ACA provisions. First, ACA has sloweddown the rate of growth of the cost of health, which has in turnboosted hiring and employees paycheck’s (Furman, 2014). Slowergrowth of the cost of health has reduced the insurance premiums paidby employers to cover their workers. This has also reduced the costof hiring new workers. Secondly, ACA is expected to lower long-termdeficit, which will lay down the foundation for future economicgrowth. The reduction in the long-term deficit means higher nationalsavings, an increase in capital accumulation, and a reduction innational borrowing, which will in turn make employees moreproductive, increase their living standards, and state as wellnational income over time. Third, ACA has increased access to neededhealth care, thus improving health and productivity of workers. Fromthe case study, ACA expanded eligibility in order to reach thevulnerable people who were not covered in the former medical plans.This has enhanced self-reported health and mental health of workers,thus improving their productivity (Furman, 2014).

ACAimpact on cost, accessibility, and quality of health care services

ACAhas reduced the cost of medical care in North Californa by reducingunnecessary health care expenses. First, ACA introduced manyprovisions and reformed the existing ones with the objective ofenhancing Medicaid, NC Health Choice, and Medicare as well as otherhealth care organizations (Silberman, Cansler &amp Goodwin, 2011). The introduction of new provisions and reformation of existing onesreduced unnecessary health expenses. ACA has many provisions intendedto improve the quality of health care. For instant, the act allowsthe government to reduce payment to hospitals with a high rate ofpatient readmission. This means that hospitals are forced to providequality health care, which enhance the treatment outcome and reducethe chances of patient readmission. ACA has also increased access tohealth care by authorizing new training programs for health careprofessionals. These programs are intended to increase the number ofprimary care providers, public health professionals, mental healthprofessionals, and nurses among other types of health care providers(Silberman, Cansler &amp Goodwin, 2011). The successfulimplementation of these training programs will reduce the patient,health care provider ratio.

Ethicalimplications of ACA

Ethicalguidelines provided by ACA are consistent with the egalitariantheory, which holds that health care is a fundamental good andpatients’ access to it allows them to become members of the society(Lachman, 2012). In addition, ACA supports the adoption of theconcept of distributive justice in the health care sector by shiftingthe health burden from poor vulnerable people to well up members ofthe society. However, ACA has faced several ethical challenges thatdemonstrate its weaknesses. For example, ACA requires health carefacilities to keep electronic health records, which subject them tothe risk of loss of privacy. This will affect the credibility ofhealth care organizations and violate the right to privacy ofindividual clients in case their health records are accessed byunauthorized persons.


Thesuccessful implementation of ACA will benefit the people of NorthCaliforna by increasing their access to quality health care andreducing the cost of health. The act will improve the treatmentoutcome and the quality of life of the people of North Californa. Inaddition, the act will create a platform for future economic growth,improved health of workers and their employees’ productivity. ACAwill reduce avoidable health care costs, thus lowering the overallcost of health, force hospitals to provide quality of care by denyingthem payments for readmissions, and increases the number of healthcare providers with the objective of enhancing accessibility ofhealth care services. Increasing accessibility of health careservices, reducing the cost of health, and providing quality care isethical practices that will allow members of the society to enjoybetter health care. However, the emphasis placed by the act on theuse of electronic health records will subject institutions to therisk of breaching the right to privacy of their clients.


Furman,J. (2014). Six economic benefits of the Affordable Care Act. Councilof Economic Advisers.Retrieved July 6, 2014, from

KaiserFamily Foundation (2014). Howwill the Uninsured in North California fare under the Affordable CareAct? Oakland:Kaiser Family Foundation.

Lachman,D. (2012). Ethical challenges in the era of health care reform.MedsurgeNursing,21 (4), 248-252.

Silberman,P., Cansler, M. &amp Goodwin, W. (2011). Implementation of theAffordable Care Act in North California. NorthCalifornia Medical Journal,72 (2), 155-159.