HI6028 Taxation, Theory, Practice & Law Sample

A Healthcare bill is any proposed law on the subject of health care. Some of the examples of this bill include but are not limited to affordable health care for the America Act (H.R 3962) which is an unsuccessful act that was passed in November 2009 by the US house. Better care reconciliation Act 2017 is one of the most famous drafts proposed in the Senate on 22 June 2017 and later revised on 13 July 2017. Based on the bill there were many suggestions that we came across regarding this bill. This paper tries to evaluate and intervene whether the bill will have some effects on the current economy at a macroeconomic level. The paper again goes ahead to investigate whether a health care bill will have some influence on the economy and if it does then has it ever happened before. The results obtained from this research or this paper will be of great significance to both the macroeconomic students and the policymakers in such that it will act as a basis for research for the macroeconomic students while for the policymakers the findings will enable them in deciding in favor of the economy. To address this the members decided to break the title into the portion that we focused on much. Some of this subdivision includes how a health care bill affects macroeconomics. History of the past impacts on this issue, what does the senate’s health care bill contains? Projected issues that this health care bill will cause?

how can a health care bill impacts macroeconomic 

Generally, there are unmistakable links between economic success and excellent health. Healthcare plays a major role in human capital quality. This encourages economic growth via increasing human per capita productivity. However, the types of healthcare spending and how much is best for economic growth are still not yet established. The United States spends more than double the average per capita income in the European Union on health care. To avoid resource waste and improve macroeconomic impacts, health care spending should be as efficient as possible. In our research, we show that spending increases improve certain quantitative health indicators up to a point, but not beyond. Not all countries are fully utilizing existing technologies and best practices.

The macroeconomic importance of healthcare systems is based on output, employment, and research. They also have direct fiscal implications for long-term fiscal stability, while healthcare spending decisions have a significant fiscal multiplier effect on short-term economic growth. Due to high unemployment and low productivity, most southern European countries have drastically slashed health care spending. Budget cuts should preserve spending items with high fiscal multipliers, such as health care.

In addition to this, various healthcare systems influence labor force participation, productivity, human capital formation, and thus macroeconomic outcomes. We find that access to health care is particularly unequal in around one-third of EU countries, which calls for policy responses.

History of the past impacts on health care

Over time healthcare has been slowly been implemented by each incoming administration starting from the 1700s which was colonial times. In this period Medicine was primitive for the first few generations of colonists because few upper-class physicians emigrated to the colonies. Women were heavily involved in early care, especially in childbirth. Initial infant and child mortality rates were extremely high. Malaria, diphtheria, and yellow fever were particularly harmful. However, smallpox inoculation was introduced earn-on.

In the mid-1980s (the civil war) period, During Civil War, the disease killed more soldiers than combat. The Confederacy suffered from a shortage of physicians and medical supplies. Poor hygiene and living conditions spread diseases like measles, mumps, chickenpox, and whooping cough. The typhoid epidemic devastated the south. A lot changed during the war. Preventive medical promoters made significant progress in healthcare much appreciation to a well-funded United States Army Medical Department and the United States Sanitary Commission. Huge new health-related organizations sprung up, raising public awareness. The US Army Hospital Corps was established in 1886. Massive data collection required to search and pattern recognition methods. Senior surgeon John Shaw Billings designed and built the Surgeon General’s Office Library.

Between the 1910s and 1920s, WWI and blue cross blue shield was introduced. In this period, a war risk act was enacted to cover for all military who were involved in an injury or rather died. This act was amended later to extend financial aid to all service members’ dependents. After the war, hospitals and doctors began charging fees that the average citizen couldn’t afford, increasing the cost of healthcare. It was followed by a period of economic hardship, especially for the unemployed and the elderly. As “The Blues” spread across the country, President Franklin Delano Roosevelt (1933-1945) commenced working on a health insurance bill that included much-needed “old age” coverage. Following the war, hospitals and doctors began charging fees that the average person could not afford. By 1960, the authorities began monitoring NHE and estimated them as a percentage of GDP (GDP). NHE was 5% of GDP at the beginning of the decade. President John F. Kennedy (1961-1963) created a healthcare plan for the elderly quickly. The rising cost of retiree health insurance prompted him to call on the American public to get involved in the legislative process. However, it failed miserably due to AMA opposition and socialized medicine fear. The 36th US President proposed for expansion Hill-Burton, as well as the Social Security Act of 1935. this program granted the government medical facilities to enable it to modernize and provide medical services to those who could not afford to pay. 

In the healthcare debate, Richard Nixon the 37th president suggested a new bipartisan law Still thinking about Medicare, Congress got to work on a plan. So Nixon advocated for a market-based approach to consolidating private insurers. President Clinton proposed the 1993 Health Security Act. The plan proposed a compromise between universal coverage and private insurance. State cooperative personal insurance Pre-existing conditions are not grounds for denial. Foreign policy, complexity, the deficit, and corporate opposition slowed the Clinton plan. The end of 1993 saw no conclusions or decisions. Ensuring personal privacy while ensuring access to medical records and restricting how pre-existing diseases are addressed in group health plans, Clinton enacted HIPAA in 1996. This was included in the 1997 Balanced Budget Act. The Children’s Health Insurance Program now covers uninsured children up to the age of 19 whose families’ incomes are too high to qualify, which is being exercised until today in every estate. 

Bush (2001-2009) wanted to expand Medicare’s coverage to prescription drugs. Out of this idea came the Medicare Prescription Drug Modernization Act of 2003. Millions of Americans are using this voluntary enrollment program. 

Once elected 44th President of the United States in 2008, Barack Obama (2009-2017) set about reforming the health care system. They worked on a new health-care bill inspired by 1970s legislation. It, too, mandated health insurance for all citizens, regardless of employer. Insurers cannot deny coverage due to pre-existing conditions. The program is free for those earning less than 400% of the FPL (FPL). Obamacare was enacted on March 23, 2010. Since Medicare and Medicaid were established in 1965, the law. The individual mandate was finally repealed in December 2017 as part of the 2017 tax reconciliation act.  An insurance market’s success relies on healthy people joining the insurance pool. Even though the penalty was removed in January 2019, the increase in insurance premiums was immediate. Since then, premiums have mostly remained stable. To qualify for Medicaid, beneficiaries must show proof of employment or education starting in January 2018. In October 2019, 18 states had applied to the federal government for work requirements, but most had not yet taken effect.In general, every administration has significantly influenced healthcare following the end of WWII. This is as analyzed from the 17th century to date. 

The senate’s healthcare bill shall involve various parts in ensuring affordable medical care. The bill will help remove health coverage requirements. CBO and JCT project that 15 million more people will be uninsured in 2018 due to the abolition of the penalty for not having insurance. Comparatively, the uninsured will increase by 19 million in 2020 and by 22 million in 2026. Less money for Medicaid and smaller average subsidies for no group coverage would lead to more uninsured persons in the end. The number of uninsured Americans under 65 is expected to rise by 16% by 2026, compared to the current law’s 28 million.

Also, the bill shall involve reducing the Medicaid spending by 26%: The Better Care Reconciliation Act of 2017 was updated by the Senate on July 20, 2017. AHA and previous Senate Medicaid frameworks are very similar (AHCA). Both the BCRA and AHCA change Medicaid by limiting federal funding via a per capita cap or block grant. The BCRA also changes eligibility and limits state funding mechanisms. Its implementation is uncertain because many provisions are left up to the HHS Secretary’s discretion. Modifications to Medicaid would affect 74 million people and the states that co-fund and administer the program. Full inclusion of all Medicaid provisions in the BCRA cuts federal Medicaid spending by $756 billion over the 2017-2026 period. The BCRA is projected to reduce federal Medicaid spending by 35% by 2036. Medicaid eligibility, benefits, and reimbursement rates would be reduced because of these cuts. A look at the BCRA’s major Medicaid changes and how they may affect states, providers, and beneficiaries.

In addition, the bill is involved in ensuring the BCR repeals the federal requirement that health insurers maintain a minimum medical loss ratio. The Medical Loss Ratio is required by the Affordable Care Act (MLR). In case of non-compliance, they must refund enrollees. Insurance companies must spend at least 80% or 85% of premium dollars on medical care under the Affordable Care Act. The issuer must provide a rebate to consumers if it fails to meet the applicable MLR standard in any given year starting in 2012.

Findings

Basing the results above, it is clear that healthy young people would possibly gravitate towards cheaper policies of health care, while the older people who are in healthy condition would probably gravitate towards the top end soar for comprehensive plans.

Based on the 2016 data, the American health care act as passed by the senate-house, Eliminates individual and employer penalties for lack of health insurance. These Deny insurance to inconsistent drivers

By 2026, 924,000 fewer people will be employed. The loss of $93 billion in state revenue and $148 billion in business output After 2026, the decline will continue.

Repealing and replacing the Affordable Care Act in the House would significantly reduce insurance coverage, reversing recent gains. However, as coverage reductions deepen, job losses and slower economic growth begin in 2021, because of the AHCA. 

The health care industry has seen significant job growth recently. Most likely we may have   725,000 fewer jobs in the health sector by 2026 This would be a major shift from current trends. 

Macroeconomic analysis may be useful in understanding these findings. A tighter labor market creates more difficulty filling job vacancies when unemployment is low. Thus Inflation is likely to fall if precious measures are not considered.