NURS 6050 Politics and the Patient Protection and Affordable Care Act

NURS 6050 Politics and the Patient Protection and Affordable Care Act

Sample Answer for NURS 6050 Politics and the Patient Protection and Affordable Care Act Included After Question

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. NURS 6050 Discussion: Politics and the Patient Protection and Affordable Care Act Essay.

The suppliers of legislative benefits are legislators, and their primary goal is to be re-elected. Thus, legislators need to maximize their chances for re-election, which requires political support. Legislators are assumed to be rational and to make cost-benefit calculations when faced with demands for legislation. However, the legislator’s cost-benefit calculations are not the cost-benefits to society of enacting particular legislation. Instead, the benefits are the additional political support the legislator would receive from supporting legislation and the lost political support they would incur as a result of their action. When the benefit to legislators (positive political support) exceeds their costs (negative political support) they will support legislation. (page 27)

Source: Feldstein, P. (2006). The politics of health legislation: An economic perspective (3rd ed.). Chicago, IL: Health Administration Press.

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.

Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. Then, explain how analyses such as the one portrayed by the Feldstein statement may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid).



Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. NURS 6050 Discussion: Politics and the Patient Protection and Affordable Care Act Essay.

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 3, “Government Response: Legislation” (pp. 37–56)
  • Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 180–183 only) (n.d.). Retrieved September 20, 2018, from

Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350. doi:10.1016/j.outlook.2017.05.003

Note: You will access this article from the Walden Library databases.

United States House of Representatives. (n.d.). Retrieved September 20, 2018, from

United States Senate. (n.d.). Retrieved September 20, 2018, from

United States Senate. (n.d.). Senate organization chart for the 115th Congress. Retrieved September 20, 2018, from

A Sample Answer For the Assignment: NURS 6050 Politics and the Patient Protection and Affordable Care Act

Title: NURS 6050 Politics and the Patient Protection and Affordable Care Act

Hello Michael, the republican party tends to hold back when it’s beneficial to them, and that’s what makes them a stronger party. They stand together and support each other. In terms of voting, I dont specifically vote for a person, I tend to vote for the party, I am a proud democrat and  I go with the belief as a whole, which can sometimes be a flaw.  The republicans always seem to be aware of the cost benefit calculation as you mentioned. Cost-benefit analysis (CBA) in the federal rulemaking process is the systematic examination, estimation, and comparison of the potential economic costs and benefits resulting from the promulgation of a new rule. (Perkins & Carey, 2017). Senator Ron johnson was one of the voices that emphasized seeing the GOP repeal the Affordable care act if the republican party were to win the white house, house of rep and senate majorities in 2024. He also stated that the republicans were being strategic in obstructing president Bidens and the democrat’s agenda, and that was a goal they set. (Wang, 2022)


Perkins, D. W., & Carey, M. P. (2017, April 12). Cost-benefit analysis and Financial Regulator Rulemaking. Cost-Benefit Analysis and Financial Regulator Rulemaking. Retrieved September 13, 2022, from

Wang, A. B. (2022, March 7). Sen. Ron Johnson says Obamacare should be repealed if GOP wins power back. The Washington Post. Retrieved September 12, 2022, from

I believe the costs that come alongside the changes needed to repeal the ACA would deter conservative legislators because increasing government spending typically goes against the conservative financial viewpoint of typically reducing government spending. However, repealing the ACA can also be “sold” in a way to actually appeal to conservative financial values, because after the initial spending to make the changes necessary to appeal ACA, there may be a large reduction in government spending in healthcare afterwards. That viewpoint would then appeal to conservative legislators and be in-line with conservative financial beliefs.

The cost-benefit analysis made quite the impact on legislatures and their reelection. This has been a political debate for years, and it’s now being used selfishly to win votes. The law and healthcare tie into each other and can significantly impact votes for representatives. For many years republicans used the ACA repeal for votes and attention. The ACA was part of their success, and it was the star of their campaigns at times. People voted specifically on the promise of the ACA being repealed. This didn’t just affect republicans either; this affected all legislation. According to Johnathan Cohn (2020), “Democrats lost 64 seats in the House of Representatives, relinquishing a majority they had won just four years before. And although the results reflected a variety of factors, they had a lot to do with anger over the Affordable Care Act (ACA)”.

For years republicans struck the ACA and tried tearing it apart piece by piece. A lot of people thought that it would ruin the entirety of the healthcare system and make insurance pricier. A cost-benefit analysis by the legislators, Republicans included, soon showed them that they risked not getting re-elected because of the far-reaching negative aspects of ‘repeal and replace. The new policy would deprive many Americans of access to affordable healthcare (Daniel, 2017). Everyone quickly realized that The AHCA would be a financial disaster for millions.


The cost-benefit analysis put all the tiny puzzle pieces together, showing everyone the bigger picture that would change millions of lives. Repealing the ACA would cost roughly $350 billion through 2027 under conventional scoring and $150 billion using dynamic scoring. Repealing ACA would increase the number of uninsured people by 23 million (Daniel, 2017). Figuring out the numbers changed the legislature’s minds and forced them to change how they would win the public votes. The CBA showed the nitty gritty details that people weren’t considering. It showed the actual cost, the time it would take, and the advantages and the disadvantages.

NURS 6050 Politics and the Patient Protection and Affordable Care Act
NURS 6050 Politics and the Patient Protection and Affordable Care Act


A video from Walden University (2018) featuring Joel Teitelbaum shares, “It is clear that politics is playing a vital role in the design at the outset and now the implementation of the ACA.” I think the cost-benefit analysis greatly impacted whether specific people would earn votes. The most recent KFF Tracking Poll conducted in March 2022 found slightly more than half of the public (55%) hold a favorable opinion of the ACA, while about four in ten (42%) hold a negative view of the law (Montero,2022). The ACA has brought division to the political parties and in several communities.

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Legislators’ goals are to remain in office, so at this point, they would do anything for support to be re-elected. As their agendas changed, so did their views. Now they had to change the message to attract different people. The public view changed, and legislatures soon realized they must be careful about what policies they allow to represent them and what procedures they chose to support. Many opinions on government involvement in the health care system impact voters’ choice of the presidential candidate. Blendon and Benson (2014) state, “Polling results have highlighted that voters do not see health care as a single issue. In one poll, 73% of respondents said health care was an important issue in their voting decision. When asked from a list what they meant by this statement, the ACA or Obamacare was the dominant health care issue (48%). Medicare was mentioned by 25%, and Medicaid by 14%”.


As Americans, we want to keep moving forward, working towards coverage that suits everyone. The debates over healthcare and the ACA, in general, will not cease, as we will continually have to work to come to the same solution. Though the answer seems far away, hopefully, one day, we can find a middle ground that suits everyone, even if it looks a little different through political representation. The representation of the specific legislators and what they support/represent will always be what sways votes. Taking each aspect into consideration and looking at the targeted population is what will keep legislators in office.



Blendon, R. J., & Benson, J. (2014, September 12). Voters and the affordable care act in the 2014 election: Nejm. New England Journal of Medicine. Retrieved September 13, 2022, from

Cohn, J. (2020, March 6). The ACA, repeal, and the politics of backlash. Health Affairs Forefront. Retrieved September 13, 2022, from

Daniel, M. (2017). The cost of full repeal of the Affordable Care Act. Committee for a Responsible Federal Budget. Retrieved September 13, 2022, from

Montero,A. (2022, April 14). 5 charts about public opinion on the Affordable Care Act. KFF. Retrieved September 13, 2022, from

Walden University, LLC. (Producer). (2018). Introduction to Health Policy and Law with Joel

Teitelbaum [Video file]. Baltimore, MD: Author.

The ACA was a very democratic lead legislation, being passed with no republican votes (Walden University LLC, 2018b).