Affordable Health Insurance Case Study

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I. Summary of the Problem: Should individuals be required and forced to buy and pay for insurance, and if the individuals opt out when buying the insurance, should they pay a fine?
II. The Facts:
A. Clinical: A twenty-nine year old male is employed at a small consulting business as the business’s IT Specialist. The company had fifteen employees and did not provide health insurance; most of the employees were young and healthy. With the Affordable Care Act implemented, the young male was going to be required to buy health insurance from the state’s insurance exchange or pay a penalty fine for not buying insurance. The individual had no important medical problems, received an annual flu shot, and had many expenses to cover without the fact of insurance. His penalty fine for the first year would be around $350, much cheaper than the cheapest insurance policy he could buy.
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Situational: Jack Feldman was a twenty-nine year old employed as an IT Specialist at a small business that employed fifteen employees. All the employees were young and healthy, like Jack. Mr. Feldman was quite distressed that, as the Affordable Health Care Act was implemented, he was going to buy health insurance from the state or pay a penalty for not doing so. He had no history of medical problems, annually received a flu shot at the local grocery store, and had many other expenses to cover on his modest salary of $35,000. Jack knew that the premiums paid by the young and healthy adults would be used to subsidize the more costly care for the older generations, the chronically ill, and those with lower income. He was angry not only that the government was telling him it was in his best interest to buy health insurance, but also that he was being forced to subsidize other who would not take care of themselves. For the first year, his penalty would be around $350, which is expected to rise around 2.5% in the next coming years. This penalty is much cheaper than the State’s cheapest insurance

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