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With so many different stakeholders in the health care system, many with powerful political

lobbies, it is understandable that the government has been unable, until the Patient Protection
and Affordable Care Act of 2010, to effectively address the problems of cost, access, and
quality. Despite this recent legislature, employers and the public have deep concerns about the
ever-increasing costs of health care. Physicians, hospitals and other providers continue to
voice displeasure with managed health plans’ requirements and restrictions, while employers
and the insured are railing against potential huge premium increases. Should government
continue to take an aggressive role in reshaping the health care system or should the
economy be allowed to continue exerting market-driven reforms? Please take a stance
of either pro-government or pro-free enterprise factions and explain how the public will fare
in each situation. How are the problems of cost, access, and quality likely to be addressed in
each circumstance?

Marketing involves selling a product or idea. Goods are purchased through a mutual
agreement between a business and consumer. The product can only sell if the consumer
agrees to the purchase. All citizens, regardless of socioeconomic status should have access to
affordable, quality healthcare. Consumers should be able to choose a plan based on their
needs, affordability and access to the services offered under the plan purchased.
In a pro-free enterprise, the purchase of healthcare exists if the consumer agrees to the
sale. Customers are free to purchase an insurance plan that best suits their needs. Market
companies independently regulate the details of their plans, their own fees and guidelines,
allowing them to be more apt to have hidden fees and control over raising prices when
convenient to benefit the business and not the consumer. Free market insurance companies
could also deny consumers with pre-existing conditions. According to Sultz, Kroth and
Young (2018), the history of poor quality of care, conflicts of interest and ethical dilemmas in
the free-market approach results in the government’s intervention to improve affordable cost,
access, and quality healthcare (p. 27).
The Patient Protection and Affordable Care Act of 2010, also known as Obamacare,
required all citizens to obtain health insurance by 2014 or they became subject to face fines.
Those who already had insurance were allowed to keep their plans. Others who were uninsured
could apply for Medicare benefits or purchase state plans, some with assistance. The Act was
created to protect consumers, improve quality of care and control costs, increase various
affordable health activities and specialties, and make insurance companies transparent in their
transactions, such as benefits and discounts and refunds (Amadeo, 2019).
A pro-government system, besides Medicare and Medicaid, can help consumers by
regulating costs, and have access to quality health insurance. It can allow insurance
companies to sell plans across states so that access is made available to everyone, in turn,
making insurance more affordable and possibly lowering taxes. In the event that someone
falls ill, and cannot speak for themselves, the government is the force needed to hold
insurance providers to their end of the deal so that consumers get what they pay for and are
entitled to.
The idea of selling healthcare takes the importance off of the actual need and the value
for everyone to have the same cost, access and quality. Therefore, some people will live and
die without the same use technology, facilities and providers as compared to others. The
government’s role in reshaping the health care system is needed to protect customers and give
them the freedom to purchase insurance, while giving insurance companies the freedom to sell
their services. Thus, allowing the mutual agreement to do business and provide care in the
best interest of the customer.


Amadeo, K. (2019, June 25). What Is Obamacare? The ACA and What You Need to Know.
Retrieved on July 9, 2019 from

Young, K.M., Kroth, P.J., & Sultz, H.A. (2018). Sultz & Young’s Health Care USA:
Understanding Its Organization and Delivery. Burlington, MA: Jones & Bartlett