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Health Care Reforms

Health Care Reforms

Signing HR 3590 and HR 4872 into law in 2010 marked a major milestone in the quest for comprehensive healthcare reform. These legislations are collectively known as the Patient Protection and Affordable Care Act (PPACA) or Obamacare. They were meant to address the U.S. healthcare system’s long-standing access, cost, and quality issues. While it represented a historic step forward, the question of whether health care has been truly reformed remains complex. The PPACA expanded access to health insurance. This was done through the individual mandate, Medicaid expansion, and the creation of health insurance marketplaces (Neiman et al., 2021). It also implemented various cost-control initiatives and introduced quality improvement measures. However, challenges persist, such as rising healthcare costs, disparities in access, and continuing debates over the effectiveness and sustainability of certain provisions. The quest for comprehensive healthcare reform remains an ongoing journey. It requires continuous assessment, alteration, and innovation.

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The healthcare reform, represented by the signing of HR 3590 and HR 4872, is built upon ethical assumptions. Firstly, the principle of justice is embraced. This aims to ensure equitable access to high-quality, affordable health care for all (Brenna & Das, 2021). This recognizes the ethical essence of fairness and equal opportunity for health care. Secondly, the principle of beneficence is central. It emphasizes the duty to promote individuals’ well-being through providing comprehensive healthcare services. This recognizes that health care is a fundamental human right. It also highlights the moral responsibility to improve the overall health of the population. Finally, the principle of autonomy is respected. The right of individuals to make informed decisions about their health care is recognized. Moreover, individuals are allowed to have a say in their treatment options and health-related choices. This stresses the importance of patient-centered care. It also stresses respect for individual autonomy and self-determination in healthcare decision-making.


Brenna, C. T., & Das, S. (2021). The divided principle of justice: ethical decision-making at surge capacity. The American Journal of Bioethics, 21(8), 37-39.

Neiman, P. U., Tsai, T. C., Bergmark, R. W., Ibrahim, A., Nathan, H., & Scott, J. W. (2021). The affordable care act at 10 Years: evaluating the Evidence and Navigating an uncertain future. Journal of Surgical Research, 263, 102-109.


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Health Care Reforms

Health Care Reforms

Dear Students, President Obama signed HR 3590 and HR 4872 into law in 2010 (PPACA). PPACA represents a century of efforts to provide access to high-quality, affordable health care. Access, cost, and quality are the triumvirate mantra of health care reform.

-Is Health Care Reformed?
-Mention and describe at least three Ethics Assumptions of the Health Care Reform

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