Lack of health insurance or increasing insurance premiums (that may not cover the necessary service) was the main underlying issue. This issue further created the problem of “duplication and inefficient care”, which means the quality of service is affected. When quality is affected, the cost is directly affected. Respectfully, if the cost is affected negatively or positively, satisfaction is indirectly influenced. Satisfaction determines the status of any business, even the healthcare system. The P.P.A.C.A. (Obamacare) is a health care reform designed to create a better healthcare system. According to Jennifer Tolbert, the Associate Director for the Kaiser Commission on Medicaid and the Uninsured, the goal of the Obamacare “spanned into four key areas: expanding coverage to millions of Americans who lack it today; improving the affordability and quality of coverage for those who are currently insured; improving access to and the overall quality of care that individuals receive; and constraining the growth of healthcare cost” (Tolbert, 2010). If everyone is obligated to have insurance or pay a fine regardless of health status (pre-existing conditions), then it is assumed that the cost of health would be spread amongst all Americans. The ending result seems to be the increase in insurance premiums. As a result of increase in premiums, states are acting individually, challenging the constitutionality of the P.P.A.C.A. (Faria, 2012). In the end, American citizens are hoping for the best outcome, a better health care
Lack of health insurance or increasing insurance premiums (that may not cover the necessary service) was the main underlying issue. This issue further created the problem of “duplication and inefficient care”, which means the quality of service is affected. When quality is affected, the cost is directly affected. Respectfully, if the cost is affected negatively or positively, satisfaction is indirectly influenced. Satisfaction determines the status of any business, even the healthcare system. The P.P.A.C.A. (Obamacare) is a health care reform designed to create a better healthcare system. According to Jennifer Tolbert, the Associate Director for the Kaiser Commission on Medicaid and the Uninsured, the goal of the Obamacare “spanned into four key areas: expanding coverage to millions of Americans who lack it today; improving the affordability and quality of coverage for those who are currently insured; improving access to and the overall quality of care that individuals receive; and constraining the growth of healthcare cost” (Tolbert, 2010). If everyone is obligated to have insurance or pay a fine regardless of health status (pre-existing conditions), then it is assumed that the cost of health would be spread amongst all Americans. The ending result seems to be the increase in insurance premiums. As a result of increase in premiums, states are acting individually, challenging the constitutionality of the P.P.A.C.A. (Faria, 2012). In the end, American citizens are hoping for the best outcome, a better health care