In healthcare, cost shifting occurs when the institution charges an amount that is greater to an insured client to cover for the expenses that an uninsured caused and who paid less for not being covered. Because there still exists a number of people without insurance, the institutions tend to charge as explained before to be able to stay in business. Even those receiving government coverage benefit from this way of charging. Those with health insurance don’t like that their annual premiums increase because hospitals charge them more than they do the uninsured (Norman, 2018). The Affordable Care Act (ACA) is responsible for much of the cost shifting of nowadays since its enactment. Nevertheless, cost shifting has been happening even before
