Annotated Bibliography

“What impact has the Affordable Care Act had on health care in the U.S.?”

By: Kahlea Jackson

Date: Updated 04/01/20

Ford, Naima. "What is Obamacare?" El Chicano Weekly, Jul 05, 2012, pp. 1. ProQuest,
https://login.proxy039.nclive.org/login?url=https://search.proquest.com/docview/1027228346?
accountid=10163.

To truly understand what Obama Care is and what agenda it is pushing, Ford explains the core views
and actions taken place by this legislature. Obama Care created The Exchange to provide resources for
buying healthcare. The goal of this exchange was to create competition amongst various insurance
markets, opening up more opportunities for coverage, while giving the individual a greater choice and
purchasing potential. The plan will allow individuals and households who meet quota and individual
percentile to apply for affordable and accessible healthcare. As the government continues to work on
this Act, new mandates and legislations are being put in places, such as one that offers coverage for
someone who has been with an illness for six months or longer. Most legislations start wtih many
dilemmas, drawbacks, disappointments, and quandaries, but as the Affordable Health Care Act
continues to evolve, better changes are being made. Ford's informative article provides a fantastic
insight into the barebones definition and goal of the ACA.

Glied, Sherry, PhD., and Adlan Jackson B.A. "The Future of the Affordable Care Act and Insurance
Coverage." American Journal of Public Health, vol. 107, no. 4, 2017, pp. 538-540. ProQuest,
https://login.proxy039.nclive.org/login?url=https://search.proquest.com/docview/1903817146?
accountid=10163, doi:http://dx.doi.org/10.2105/AJPH.2017.303665.

Glied assesses the patterns of coverage and uses this to detect the impact of a repeal of the Affordable
Healthcare Act. From their research, studying, and observations, Glied finds that many of the aspects of
the ACA brought about large insurance-related benefits. Specifically, the Medicaid expansion and
structure of practices allowed for robust growth in insurance rates and opportunities i the health care
system. Glied warns that removal of the system or a mass repeal could hurt a lot of the American
people. Many would lose access to coverage and care due to a vast reppeal, thus slowly chipping away
at public safety and access. Glied suggests the best strategy is to utilize the benefits of Obama Care and
slowly readjust any negative effects. With Glied's article's serious tone and assessment, it makes a point
that the positive elements of the ACA outweigh the decision for a repeal.
Oberlander, Jonathan. "From Obamacare to Hillarycare — Democrats’ Health Care Reform Agenda." The
New England Journal of Medicine, vol. 375, no. 14, 2016, pp. 1309-1311. ProQuest,
https://login.proxy039.nclive.org/login?url=https://search.proquest.com/docview/1826744403?
accountid=10163, doi:http://dx.doi.org/10.1056/NEJMp1610712.

As Oberlander gives an overview of the benefits and disadvantages of Obama Care, he addresses the
question, "what would be the effects if it were to be reformed?" Using statistics and data, Oberlander
shows that the Affordable Healthcare act was able to increase the insured population by millions. The
ACA was successful in one of its goals of providing much more coverage than was previously substantial.
This Act not only provided innovation and stabilization in the Health care system, but it also lowered
premiums and kept insurance competition in states strong. Oberlander offers some suggestions on how
to sustain the moment and build upon the positive consequences of Affordable Healthcare. Lowering
the requirements so that more families with a high individual income rate can still receive the
healthcare they need and promoting Medicaid are two powerful and useful ideas. Oberlander's tips and
observations provide wonderful insight into the effects of the ACA.

Oberlander, Jonathan. "The Future of Obamacare." The New England Journal of Medicine, vol. 367, no.
23, 2012, pp. 2165-2167. ProQuest,
https://login.proxy039.nclive.org/login?url=https://search.proquest.com/docview/1223492343?
accountid=10163, doi:http://dx.doi.org/10.1056/NEJMp1213674.

With the threat of a repeal disappearing, Oberlander takes a look at the future benefits of the
Affordable healthcare act. Oberlander describes how communities will establish health exchanges,
marketplace regulations, and how and where small business owners will search for employee coverage
as well. The author reinstates the public opinion issue the ACA has, as many more disapprove than
approve of the law. Despite the national scrutiny, the federal budget continues to add to and strengthen
the ACA as they look forward to offering better plans for a diverse number of individuals and contribute
to each state's need. Oberlander closes this insightful article by describing how additional Medicare and
Medicaid savings are growing increasingly popular and professing that as long as the government stays
away from a bipartisan budget, the ACA will continue to grow and positively affect the community and
nation as a whole.
Peterson, Mark A., PhD. "Enacting Medicare for all: Balancing Ambition with the Needs of Statecraft."
American Journal of Public Health, vol. 109, no. 11, 2019, pp. 1521-1522. ProQuest,
https://login.proxy039.nclive.org/login?url=https://search.proquest.com/docview/2304088194?
accountid=10163, doi:http://dx.doi.org/10.2105/AJPH.2019.305339.

Peterson devels into the ambitious idea Obama Care tried to achieve giving medicare to all people. They
cover the topic of healthcare reform by going over its main goals and plans. Petersen explains how the
Act divided many state opinions and how unfortunately with certain individuals the benefits of this
decision may not come to fruition. Peterson recognizes that the desire for medicare and its surge in
popularity due to public opinion. He acknowledges despite the division it creates in politics, people do
want some form of universal health care for all. Peterson discusses how negative political influence has
contributed to some of the improper aspects and arrangements made within the Act itself. Focusing too
much on building political agendas can misconstrue the overall result. Peterson believes both parties
should commit to address the already established healthcare system. As they assess the political
drawbacks and reaffirm the community benefits, Peterson makes it clear that the topic of Medicare
means something different to each individual.

Ritger, Clara. "Why Public Opinion of Obamacare Remains Negative." Nationaljournal.com, 29 Apr. 2014. Gale
In Context: U.S. History, https://link-gale-
com.proxy039.nclive.org/apps/doc/A366361128/UHIC?u=shel41774&sid=UHIC&xid=2e2829db.
Accessed 1 Apr. 2020

The negative effects of the Affordable Health

Care Act has impacted many people. Ritger analyzes that even though many people are covered by Medicare,
many of the negative consequences have damaged public opinion. The ACA offers help to some people, but it
negatively affects the Middle Class or average income earners. The tax penalties and market subsidies raise
costs which cause coverage to not be available to everyone. Some companies even found it more cost-
efficient to pay their penalty and let their employees pick out their own insurance plan, which also hurts
working people as well. Ritger discusses that these setbacks have damaged many public views on the ACA
even though polls show that people's viewpoints are still split "Some 48 percent hold an unfavorable view of
the Affordable Care Act, compared with 38 percent favorable" (Ritger). While some might have a negative
view due to misinformation, which is certainly not a good thing, studies of the consequences of the ACA have
given some people an unenthusiastic impression.
RPC // in her words: Obamacare's negative impact on women. (2014). (). Washington: Federal
Information & News Dispatch, LLC. Retrieved from eLibrary; ProQuest Central Retrieved from
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Obama Care has had a negative impact on many people. It has affected the Upper Middle Class, the
working people, the medical field, and even the elderly, but many republican women who have
been affected choose to speak out and share their stories. Rising costs make it too expensive for
some women to attend regular visits and get clinical care. The higher deductible forces women
to pay more out of pocket, while some don't even qualify for medicare with certain procedures.
Another method that is blocking women for qualifying is the stringent requirements necessary
for coverage. The most common issue many women find is the price they have to pay out of
pocket far exceeding what they would have previously owed or surpassing what they can afford.
Many of the talking points for the ACA discuss how many without healthcare were able to finally
receive it, but many who are voicing their opinions say that what they received is not what they
wanted, "I was excited that I might have insurance for the first time in 20 years, but it didn't help
me" (Tina DeMarsico).

Wilensky, Gail R. "The Shortfalls of “Obamacare”." The New England Journal of Medicine, vol. 367, no.
16, 2012, pp. 1479-1481. ProQuest,
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accountid=10163,

doi:http://dx.doi.org/10.1056/NEJMp1210763.

Wilensky goes into meticulous detail on the specific drawbacks of the affordable healthcare act. He
addresses the three main problems that it suffers from. He first details the necessity for a choice in
health insurance. While the ACA requires people to use insurance or pay a penalty, Wilensky argues that
this will not encourage more people to get insurance, it will only make them postpone it. He also points
out that insurance is not dire for young citizens that live a modest life. Secondly, Wilensky explains that
health care costs are rising at unaffordable rates since the ACA was put into effect. Wilensky's final point
shows that the ACA is not improving upon the conditions of healthcare as it focuses too much on making
budget cuts. Wilensky's structure and well thought out points make the information presented
believable and constructive.