Policy Making and the Federal System Essay - 841 Words

Short Essay: Policy-Making in the Federal System Obama’s Care â€Å"Medicaid – not Medicare Frances Johnson POL: 201 American National Government Instructor, Carol Parker July 12th, 2012 During the 2008 federal campaign, Democratic presidential candidate Barack Obama placed comprehensive health care reform at the centre of his platform. In the light of the growing problems facing the US health care system, the time seemed ripe for another attempt to control health costs while expanding insurance coverage. Elected in the context of the deepest recession since World War II, President Obama nonetheless decided to reform the U S health care system at the beginning of his presidency( proquest.com). While†¦show more content†¦Under the ObamaCare, the federal government now imposes Medicaid on the states as a federal mandate to meet the federal requirements of the individual mandate for the entire below- age- 65 population with incomes under 138 percent of the poverty level (Forbes.com). That includes mandatory coverage for the first time of all non-elderly, childless adults within the income limits. The states, consequently, no longer retain substantial discretion to determine eligibility or scope and duration of coverage for the program within their respective jurisdictions, which makes the program unacceptably coercive. ObamaCare is the individual mandate requiring every citizen to obtain health- insurance coverage with benefits and provisions specified by the federal government (Forbes.com). The way ObamaCare provides for lower- income individuals and families to obtain that required coverage is by forcing the states to offer expanded coverage under Medicaid as a condition of continuing to participate in the rest of the program. Under the ObamaCare, the federal government now imposes Medicaid on the states as a federal mandate to meet the federal requirements of the individual mandate for the entire below- age- 65 population with incomes under 138 percent of the poverty level (Forbes.com). That includes mandatory coverage for the first time of all non-elderly, childless adults within the income limits. The states,Show MoreRelatedPolicy Making Of The Federal System897 Words   |  4 PagesPolicy-making in the Federal System The federal system of government in the United States of America has a three-tier system where the policy-making function cuts across the federal, state and local government. The responsibility of government is divided across the three tiers in different proportions depending on the need being served (Gerston, 2007). Public policy in matters like health care is very sensitive when laws or amendments are passed. 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