Kimberly A. Amezcua
San Joaquin Delta College
Patient protection and affordable care act (ACA) were implemented in 2010, this assures that all Americans have access to quality affordable healthcare. The major goals of ACA are to build our existing system by expanding Medicaid, preserving employer health coverage and Medicare, and state control of insurance markets. They also aim to provide higher quality of care and improve the patient experience, increase patient access to care and control healthcare costs. Since ACA has been implemented there have been many changes in healthcare. Nurses are important players in this healthcare change, nurses are on the front line of patient care and …show more content…
Some of these preventive services include cervical screening, mammograms, colonoscopies, prenatal and new baby care, childhood immunizations, and many more. But where there are positives there are also negatives.
Some of the negatives include higher insurance premiums, individuals who do not have health insurance can be fined, increase in taxes, higher expenses for pre-existing conditions, the United States deficit is increasing, physician offices refusing to take Medicare or Medicaid patients, complicated enrollment and penalties assessed by businesses are less then what it would cost to provide their employees insurance which will force more people to have to purchase their own …show more content…
According to Nursing Economics, 2014, the number of nurses that are employed by hospitals will continue to increase but the BLS estimates that by 2020, around 58% of nurses will be employed in hospitals compared to around 60% in 2010. This is due to the impact of ACA and that individuals who were previously uninsured will not need to use emergency services as much before because they can be treated in other settings. Also, we are seeing a growing desire for older people to stay at home and be cared for, thus nurses will play a key role in communities outside hospitals. Nurses in ambulatory care and home care services are expected to increase over the next several years. This is due to an anticipated increase use of ambulatory care services and home services because more individuals have insurance and have these options, it’s expected that it will have positive effects on patient’s overall health as well. BLS predicts nurse’s employment in the home health industry will grow 55% between 2010 and 2020, that is nearly 230,000 of the 3.5 million nurse’s jobs by