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The Impact of the Political and Policy Cultures of Washington, DC, on the Affordable Care Act

The Impact of the Political and Policy Cultures of Washington, DC, on the Affordable Care Act CHAPTER 6 The Impact of the Political and Policy Cultures of Washington, DC, on the Affordable Care Act Sr. Rosemary Donley and Carmen Kiraly ABSTRACT The Patient Protection and Affordable Care Act of 2010 (PPACA) is the health policy framework to discuss the contemporary culture and political landscape of Washington, DC. Since its implementation, PPACA has directly engaged the White House, Executive agencies, the Congress, the Circuit and Supreme Courts, governors, state legislators, health insurers, the pharmaceutical industry, health lobbyists, the media and the press. What makes the Patient Protection and Affordable Care Act so provocative? Passed as the centerpiece of the legislative legacy of President Barack Obama, PPACA was designed to provide under- and uninsured American citizens access to continuous affordable health insurance. During Congressional debates, objections to PPACA were based on its cost and its impact on enhancing the role of the federal government in the design and financing of public and private health insurance plans. The bill passed Congress with a narrow margin of Democratic votes. After PPACA was enacted, spe- cific objections focused on its mandates: the Individual, the Provider, and the Employer mandates, and the expansion of Medicaid. In the 2015–16 Presidential campaign, Repealing http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annual Review of Nursing Research Springer Publishing

The Impact of the Political and Policy Cultures of Washington, DC, on the Affordable Care Act

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Publisher
Springer Publishing
Copyright
© 2021 Springer Publishing Company
ISSN
0739-6686
eISSN
1944-4028
DOI
10.1891/0739-6686.37.1.187
Publisher site
See Article on Publisher Site

Abstract

CHAPTER 6 The Impact of the Political and Policy Cultures of Washington, DC, on the Affordable Care Act Sr. Rosemary Donley and Carmen Kiraly ABSTRACT The Patient Protection and Affordable Care Act of 2010 (PPACA) is the health policy framework to discuss the contemporary culture and political landscape of Washington, DC. Since its implementation, PPACA has directly engaged the White House, Executive agencies, the Congress, the Circuit and Supreme Courts, governors, state legislators, health insurers, the pharmaceutical industry, health lobbyists, the media and the press. What makes the Patient Protection and Affordable Care Act so provocative? Passed as the centerpiece of the legislative legacy of President Barack Obama, PPACA was designed to provide under- and uninsured American citizens access to continuous affordable health insurance. During Congressional debates, objections to PPACA were based on its cost and its impact on enhancing the role of the federal government in the design and financing of public and private health insurance plans. The bill passed Congress with a narrow margin of Democratic votes. After PPACA was enacted, spe- cific objections focused on its mandates: the Individual, the Provider, and the Employer mandates, and the expansion of Medicaid. In the 2015–16 Presidential campaign, Repealing

Journal

Annual Review of Nursing ResearchSpringer Publishing

Published: Dec 1, 2018

References