Politics and the Patient Protection and Affordable Care Act

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Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them.
The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.
Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.
To Prepare:
• Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
• Consider who benefits the most when policy is developed and in the context of policy implementation.
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.

Sample Solution

seen in popular shows of the time, such as in Follies, Sally (1920), and The Gingham Girl (1922), (Barnes, 2015, P.14). One of the biggest sources of opportunity women had in the early 20th century came along in the form of Ziegfeld’s Follies. However, the criteria to be employed as a performer in the Follies was quite strict, in a quote from Ziegfeld he lists the specific ways the girls should look in order to be hired, finishing his statement with ‘The eyes should be large and expressive. A regular profile is a decided asset…The legs must be shapely… the proportions of the figure must be perfect.’ (Kantor and Andrews, 2004, n/a). This quote shows the unattainably high expectations men had for women in the 20s and the objectification of them in the roles of chorus girls. This is important because it shows that women weren’t highly respected before the 1940s. It could very well be argued that the system of Ziegfeld’s hiring process and the glorification of those chosen to perform ‘set the stage for modern sexual objectification’ (Norman, 2018, para.1).

This can be further exemplified in descriptions of the Follies performances. The women are described as ‘glaringly indecent’, (Mates, 1987, p.129), showing the extent of the attention on their bodies. In fact, Ziegfeld’s shows only proved to get more provocative each year, ‘He went from the suggestive to the explicit over time however never quite crossing the line to full nudity.’ (Legacy.com, 2018, para.7). This adds additional evidence to show the contrast of how women were represented before 1943.

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