Discuss the evolution of thePatient Protection and Affordable Care Act.How does it illustrate the battle between the president and Congress over national and local interests?
What will be an ideal response?
The ideal answer should:
a. Identify the ACA as the health care legislation passed in 2010 that significantly expanded the number of people receiving health insurance.
b. Explain that many people agreed there was a problem with health care delivery in the United States but few agreed on how to solve that problem.
c. Demonstrate how Obama turned the discussion of health care reform into a question of national priorities, drawing on a range of anecdotal examples from citizens across the country, and even resorted to couching the appeals to national identity and pride in fiscal terms.
d. Show how the legislative battle over the ACA reflected the different institutional perspectives, with members of Obama's party seeking special considerations for their constituents in exchange for their vote, including the "Cornhusker Kickback" and Mary Landrieu from Louisiana securing additional funding for her state, while noting that Obama still tried to frame those actions in terms of the national outlook.
e. Illustrate how the opposition to the ACA was framed in terms of local interests,using examples such as Rick Scott's comments, and how the battle over implementation also showed the distinct perspectives on domestic policy,with the president continuing to promote the law at a national level and individual politicians advocating for implementation plans that best-suited their local constituents.