Journal of Perioperative & Critical Intensive Care Nursing
Open Access

Affordable Care Act: Empowering Patients and Revolutionizing Preventive Care

Melino Mauro^{* *}Correspondence: Melino Mauro, Department of Healthcare, Ceara State University, Ceara, Brazil, Email:

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Description

The Affordable Care Act (ACA), enacted in 2010, marked a watershed moment in the history of U.S. healthcare policy. Commonly referred to as "Obamacare," the ACA set out to address systemic inefficiencies, disparities in access and soaring healthcare costs that plagued millions of Americans. Over the years, its implementation has reshaped the healthcare landscape, providing new opportunities and challenges for patients, providers and policymakers alike.

Breaking down barriers to healthcare

Before the ACA, tens of millions of Americans lived without health insurance, often foregoing necessary medical care due to prohibitive costs. The law’s primary mission was to break down these barriers by expanding access to affordable and comprehensive health insurance.

Medicaid Expansion was one of the most transformative elements of the ACA. By increasing eligibility to individuals and families earning up to 138% of the federal poverty level, it opened the doors of healthcare to millions of low-income Americans. While not all states adopted this expansion, those that did saw significant reductions in uninsured rates, especially among marginalized communities [1].

Protecting patients and ensuring equity

One of the ACA’s most celebrated provisions is its protection for individuals with pre-existing conditions. Prior to the law’s enactment, insurance companies could deny coverage or charge exorbitant premiums to people with chronic illnesses or past medical histories. The ACA made it illegal to discriminate on this basis, ensuring that health insurance became a right rather than a privilege.

Additionally, the ACA introduced the concept of essential health benefits, requiring insurance plans to cover a broad spectrum of services. These include maternity care, mental health services, preventive screenings and prescription drugs [2].

Transforming preventive care

The ACA recognized the critical role of prevention in reducing long-term healthcare costs and improving population health. To that end, it eliminated cost-sharing for preventive services like vaccinations, cancer screenings and annual wellness visits. This approach encouraged early detection and intervention, helping to mitigate serious illnesses before they became advanced and expensive to treat.

For young adults, the ACA extended the age limit for remaining on a parent’s health insurance plan to 26. This provision helped bridge the coverage gap for millions of young people transitioning from school to the workforce, many of whom lacked access to employer-sponsored insurance [3].

Addressing challenges and advancing innovation Despite its achievements, the ACA has not been without controversy and challenges. Political opposition has been a constant, with numerous attempts to repeal or weaken the law over the years. Additionally, some individuals and families have faced high premiums and out-of-pocket costs, despite the availability of subsidies.

Healthcare providers and insurers have also had to navigate the complexities of compliance with ACA regulations. However, these challenges have spurred innovation and collaboration within the healthcare sector [4].

Foundation for future reforms

The ACA’s legacy lies not only in its immediate impact but also in its potential as a foundation for future reforms. As the healthcare landscape continues to evolve, there is growing recognition of the need to address gaps in coverage and affordability. Proposals to expand Medicaid in non-participating states, increase subsidies and introduce a public option are among the ideas being considered to build on the ACA’s framework.

Moreover, the COVID-19 pandemic underscored the importance of a robust healthcare system that prioritizes accessibility and equity. Temporary measures to enhance ACA subsidies during the pandemic demonstrated how targeted interventions can make a meaningful difference in affordability and access. Policymakers may look to make these changes permanent, ensuring that more Americans benefit from the law’s protections [5].

Conclusion

The Affordable Care Act stands as a transformative milestone in the pursuit of healthcare equity and accessibility in the United States. While it has faced criticism and challenges, its achievements in expanding insurance coverage, protecting patients and promoting preventive care are undeniable. As the nation continues to grapple with the complexities of healthcare reform, the ACA provides a vital blueprint for ensuring that no one is left behind in the quest for quality care. By addressing its shortcomings and building on its successes, the United States can move closer to a healthcare system that truly serves all its citizens.

References

1. Paul DA, Mackley A, Novitsky A, Zhao Y, Brooks A, Locke RG, et al. Increased odds of necrotizing enterocolitis after transfusion of red blood cells in premature infants. Pediatrics. 2011;127(4):635-641.

   [Crossref] [Google Scholar] [Pubmed]

2. Ng E, Shah VS. Erythromycin for the prevention and treatment of feeding intolerance in preterm infants. Cochrane Database Syst Rev. 2008(3):CD001815.

   [Crossref] [Google Scholar] [Pubmed]

3. Bak SY, Lee S, Park JH, Park KH, Jeon JH. Analysis of the association between necrotizing enterocolitis and transfusion of red blood cell in very low birth weight preterm infants. Korean J Pediatr. 2013;56(3):112-115.

   [Crossref] [Google Scholar] [Pubmed]

4. Cong Z, Wan T, Wang J, Feng L, Cao C, Li Z, et al. Epidemiological and clinical features of malignant hyperthermia: A scoping review. Clin Genet. 2024;105(3):233-242.

   [Crossref] [Google Scholar] [PubMed].

5. Needleman J, Buerhaus P, Pankratz VS, Leibson CL, Stevens SR, Harris M, et al. Nurse staffing and inpatient hospital mortality. N Eng. 2011;364(11):1037-1045.

   [Crossref] [Google Scholar] [PubMed]