Reform and Development of Health Services

Questions: 1. Do you think the control knobs framework can be used to describe the main elements of the reform? 2. What do you think were the major drivers of the Affordable Care Act in the United States? 3. Who supported it? Who opposed it? Why? Answer: 1. The health system framework comprises the interactions which are associated with the final goals which are to be achieved by the system. Thus, the framework has control knob which enable the policy makers to achieve these goals. These knobs are also used in Obama care, where it focuses on quality improvement, lowers the cost of health care by making plans of financing and health service payment (2). Within the framework, it also focuses on efficiency. responsiveness, access and equity of the system. 2. An increase in the health care cost, the growing profit of the health care corporations, growing demand of uninsured people and deficit in national debt are the major drivers of the Affordable Care Act in the United States (1). Thus, this Act was made so that the American get could get better treatment. The health insurance has also become more affordable to the lower and Middle Americans through this Act. The implementation of this Act is just a stepping stone toward the health reform. 3. By 2010, 55% people disapproved and 41% people approved this act. Among the Republicans, 88% disapprove it, and only 10% approved it. The reason cited by them was that there is too much involvement of government in the health care. Among Democrats, 73% approved while 24% disapproved it. The reason given by them was it has all law requirements which a system needs (1). Post graduates (58%) are in favor of this act while the college graduates (48%) are not. The reason for this educational difference is that it gives coverage to the uninsured people. I am writing this comment regarding my classmate's post for the stated part "Therefore, the reform was believed to cover all the deficit and provides better and equal healthcare for all Americans." In my opinion, I don't think this is correct because the health care facts show that this Affordable Care Act was an effective program but it was not enough to reform the three trillion dollar US healthcare industry and it according to the National Health Expenditure Projections, the American people would spend around five trillion by 2022. Thus, this Act could curb down the expenses for reform but could not completely finish it. References: Health Care Facts: Why We Need Health Care Reform [Internet]. Obamacare Facts. 2016 [cited 3 August 2016]. Available from: https://obamacarefacts.com/healthcare-facts/ User S. Control Knobs [Internet]. Healthdatanavigator.eu. 2016 [cited 3 August 2016]. Available from: https://www.healthdatanavigator.eu/performance/frameworks/control-knobs