There is a current debate on whether to include or eliminate abortion coverage by Medicaid and private insurance. Some of the states have been implementing a policy involving the ban of abortion coverage for all private insurance companies regulated by the state (Salganicoff 1). The state and federal laws continue to shape the extent to which abortion clients have to pay for their medical costs and the amount to be covered by public funded plans.
The two competing solutions to the abortion debate include legalizing abortion coverage under both Medicaid and in private insurance plans or requiring individuals to pay for abortion costs from their pockets. Antiabortion policymakers present arguments that inclusion of abortion coverage under Medicaid would be a violation of the taxpayers' moral convictions. However, the failure to legalize abortion coverage increases mortality rates associated with dangerous abortions (Salganicoff 4). The best solution is to allow insurance coverage for abortion.
The state has the responsibility has the overall responsibility to regulate insurance providers. State law shall be passed outlining that abortion coverage is legal, but the same code will provide the federal government with greater discretion in determining whether to require for abortion coverage by private companies. The state government plays a significant role in actualizing the national policies under Medicaid (Salganicoff 2). The state has a vital role in regulating and licensing private companies offering abortion coverage.
The local government promotes self-actualization and self-responsibility. The local government will participate in making implementing plans after its acceptance by the federal and the state government (Salganicoff 4). It will be the responsibility of the local government to educate the public on the need to take out abortion plans. Local agencies can also help the people to choose between the various insurance agencies.
The federal government has the most critical force in determining the acceptance of abortion coverage policy. Abortion coverage has to be allowed in federal governments that have been restricting the coverage in marketplace plans and private plans (Salganicoff 6). The federal government may have to pass rules providing the ability to take out insurance beyond the limited conditions that including incest, rape and life endangerment.
Court leadership occurs ahead of legislative enactment. The health reforms have to follow the constitutional requirements set by the courts (Salganicoff). The issue of abortion coverage has significant aspects that necessitate the involvement of the judiciary. The point of inclusion of abortion in Medicaid, for example, results in emotionally charged questions that may divide the public, the lack of existing health policy covering the issue and the fact that is a matter concerning a claim to fundamental human rights.
The legislature is the most suited branch of the federal government in health policymaking. The lawmakers will collect public information and scientific data to guide in the making of the informed decisions (Salganicoff 3). Deliberative and lengthy debates are going to take place in the legislature more than in other bodies, and a fair decision may result in favor of abortion coverage. The legislators pass policies about public interest since the lawmakers are indebted to the individuals and the group which elected them.
The executive arm of the federal government has the responsibility to provide the relevant data, reasoning, and evidence to guide the legislature in decision making. The department of health can obtain data on policy research (Salganicoff 2). Although the executive may not participate in parliamentary debates, they may provide oral and written comment from experts and organizations. Executive determine the direction of health policies to some extent trough holding open meetings and through answering policy questions.
Works Cited
Salganicoff, Alina. "Coverage for Abortion Services in Medicaid, Marketplace Plans and Private Plans." 2016, pp 1-7
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