Balancing the principles of Federalism and intergovernmental relations under the Affordable Care Act

Osuagwu, Eze Simpson (2021): Balancing the principles of Federalism and intergovernmental relations under the Affordable Care Act.

Abstract

The Patient Protection and Affordable Care Act of 2010 is considered the most comprehensive piece of healthcare legislation aimed at providing a universal coverage for the American people. Nonetheless, the controversy surrounding the implementation of this Act stems from the principles of federalism and intergovernmental relations that is inherent in the constitution. As a result, the various states decision to run their exchanges creates disparities in healthcare costs and accessibility. This paper argues that federal interventions do not provide an answer to these anomalies but suggests that the leadership failure in the implementation could be addressed through a Christian worldview.

• Item Type: MPRA Paper
• Language: English
• Keywords: Federalism, Healthcare Reform, Affordable Care Act, Statesmanship.
• Subjects: Z - Other Special Topics > Z1 - Cultural Economics ; Economic Sociology ; Economic Anthropology; Z - Other Special Topics > Z1 - Cultural Economics ; Economic Sociology ; Economic Anthropology > Z12 - Religion; Z - Other Special Topics > Z1 - Cultural Economics ; Economic Sociology ; Economic Anthropology > Z18 - Public Policy

References

Beland, Daniel; Philip Rocco, and Alex Waddan 2016. Obamacare Wars: Federalism, State Politics, and the Affordable Care Act, Series: Studies in Government and Public Policy, Lawrence, KS: University Press of Kansas, 232pp.

Brougher, Cynthia 2015. Free Exercise of Religion by Secular Organizations and Their Owners: Implications for the Affordable Care Act (ACA). Current Politics and Economics, Vol. 17, No. 313-341

Bowman, Ann O’M 2002. American Federalism on the Horizon. Publius, (Spring). Vol. 32, No. 2, The Global Review of Federalism, 3-22.

Collins, Sara R. and Jeanne M. Lambrew 2019. Federalism, the Affordable Care Act, and Health Reform in the 2020 Election. The Commonwealth Fund Report, July

DeLeo, Rob A. and Kevin P. Donnelly 2017. Remodeling the Model. Policy Transfer and the Implementation of the Affordable Care Act in Massachusetts. Polity, Vol. 49, No. 1 (January). 5-41.

Dropp, Kyle A. Molly C. Jackman and Saul P. Jackman 2013. The Affordable Care Act: An Experiment in Federalism? Center for Effective Public Management at Brookings Institution.

Fiedler, Matthew 2018. How Did the ACA’s Individual Mandate Affect Insurance Coverage? USC-Brookings Schaeffer Initiative for Health Policy. Center for Health Policy at Brookings. May.

Gluck, Abbe R. and Nicole Huberfeld 2018. What is Federalism in Healthcare for? 70 Stanford Law Review XXX, 1689

Haeder, Simon F., 2020. Political Science and the U.S. Health Policy in the Era of the Affordable Care Act. Policy Studies Journal, Vol. 48, No. 1, 14-32

Header, Simon F. and David L. Weimer 2015. You Can’t Make Me Do it, but I Could Be Persuaded: A Federalism Perspective on the Affordable Care Act. Journal of Health Politics, Politics and Law. Vol. 40, No. 2, 281-323.

Header, Simon F., and David L. Weimer 2013. You Can’t Make Me Do it: State Implementation of Exchanges under the Affordable Care Act. Public Administration Review, Vol. 73, Issue 51, pp. 534-547.

Kincaid, John and Carl W. Stenberg 2011. “Big Questions” about Intergovernmental Relations and Management: Who Will Address Them? Public Administration Review, (March/April) 196-202

Liebertz, Scott., Jaclyn Bunch and Thomas Shaw 2020. Federalism and Public Opinion on Healthcare: The Design of the Affordable Care Act’s Insurance Exchanges and User Experience with the Exchanges. Publius: The Journal of Federalism, Vol. 50, No. 1, 55-80.

Mantel, Jessica L., 2019. Rethinking Federalism: ACA as a case study. Health Law; The Journal of Things We Like. February 4.

McGregor A. J., Blendon R. J., and Zaslavsky A. M. 2020. Examining Christian views toward the Affordable Care Act: The importance of race and denomination. J. Prev Interv Community. Jan-Mar; 48(1), 7-28.

Moots, Glenn A., 2010. The Protestant Roots of American Civil Religion. Humanitas, Vol. XXIII, No. 1and 2, 78-105

Overeem, Patrick and Femke E. Bakker 2009. Statesmanship Beyond the Modern State. Perspectives on Political Science, Vol. 48, No. 1, 46-55.

Patashnik, Erik M. and Jonathan Oberlander 2018. After Defeat: Conservative Postenactment Opposition to the ACA in Historical-Institutional Perspective. Journal of Health Politics and Law, Vol. 43, No. 4, August.

Plein, I. Christopher 2010. Federalism, Intergovernmental Relations, and the Challenges of the Medically Uninsurable: A Retrospective on High Risk Pools in the States. JHHSA, Fall. 135-157.

Rivlin, Alice M. 1992. A New Vision of American Federalism. Public Administration Review. Vol. 52, Issue 4, 315.

Thompson, Frank J., Michael K. Gusmano and Shugo Shinohara 2018. Trump and the Affordable Care Act: Congressional Repeal Efforts, Executive Federalism, and Program Durability. Publius: The Journal of Federalism, Volume 48, Number 3, pp. 396-424

Timbers, Veronica L., and Gaynor I. Yancy 2021. A Christian Trans-Affirming Perspective on Changes to the Patient and Affordable Care Act: Theological and Practical Implications for Social Workers of Faith. Social Work & Christianity, Vol. 48, No. 2, 125-136.

Toseef, Mohammad Usama, Gail A. Jensen and Wassim Tasaf 2020. Effects of the Affordable Care Act’s enhancement of Medicare benefits on preventive services utilization among older adults in the U.S. Preventive Medicine 138, 106148.

West-Oram, Peter 2013. Freedom of Conscience and Health Care in the United States of America: The Conflict Between Public Health and Religious Liberty in the Patient Protection and Affordable Care Act. Health Care Anal, 21: 237-247.