Challenges Facing the Passing of the Health Reform Policy

Junior (College 3rd year) ・Healthcare&Medicine ・APA ・1 Sources

The cost of healthcare affects the economy, the national budget, and virtually each American citizens’ economic wellbeing. A good healthcare system, allows children to excel at school, grownups to be productive at work and generally, every American citizen to live healthy and longer. Yet, for more than sixty years, federal health care reform has been a subject of contention in the US. This is because of the many challenges that affect the passing of such a policy.

One of the challenges is that, for a bill to be passed, it has to have support from the majority of the congress, something that has been hard to achieve in the past since the president has to garner sufficient votes in the two houses of congress. Another challenge to passing the policy is that, the lobbies which represent special interests have a lot of influence in the nation and so they can oppose the passing of the policy. For instance, during the Clinton administration, he faced oppositions from the insurance industry and a lobby firm, and as a result, he was not successful in passing the policy. However, Obama, during his time, negotiated with the stakeholders and this saw him gain support for health reforms (Oberlander, 2010).

Moreover, the US has a complex healthcare structure such as the numerous payment programs (Medicare, Mayo Clinic and Medicaid among others) which poses challenges to the implementation of the healthcare reform policy. In addition, political and legislative factors can also hinder the passing of the policy. For instance, days later after Obama had signed the Patient Protection and Affordable Care Act of 2010, the matter was taken to court by the Conservative representatives arguing that the laws were not constitutional(Oberlander, 2010). To cut a long story short, the challenges facing the passing of the health reform policy is far from over, given the fierce political battles, and the social and legislative challenges it faces.


Oberlander, J. (2010, June). Long Time Coming: Why Health Reform Finally Passed. Retrieved from Health Affairs:

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