Posted: December 16th, 2022

Repeal/replace the ACA

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.
The cost-benefit analysis in terms of legislators being reelected likely played a significant role in efforts to repeal and replace the Affordable Care Act (ACA). This is because legislators are primarily concerned with being reelected and may prioritize their own political interests over the needs of their constituents.

In the case of the ACA, legislators who supported repeal or replacement of the ACA may have believed that doing so would appeal to certain groups of voters and increase their chances of being reelected. On the other hand, legislators who opposed repeal or replacement of the ACA may have believed that supporting the ACA would appeal to a different group of voters and increase their chances of being reelected.

Ultimately, the cost-benefit analysis for legislators may have come down to a calculation of which position would be more politically advantageous for their reelection prospects. This could have influenced their decision-making process and contributed to the ongoing debates and efforts to repeal and replace the ACA.
Readings

· Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.

o Chapter 3, “Government Response: Legislation” (pp. 37–56)

o Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only)

· Congress.gov Links to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

· Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350 Links to an external site..

· United States House of Representatives Links to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/

· United States Senate Links to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/

· United States Senate. (n.d.). Senate organization chart for the 117th Congress Links to an external site.. https://www.senate.gov/reference/org_chart.htm

Rubrics for grading

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. … Supported by at least three current, credible sources. … Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

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