Please this paper is asking me to respond to the below writer. 1/2 a page with 2 references is enough APA 7th edition.
Cost-benefit analysis (CBA), viewed as a useful governance tool in business and government. In business, there is congress’s legislative power, Presidential oversight,
responsibility, democratic/republican values, and the modern regulatory state. Federal officials that are not elected most often are selected and given substantial rule-making authority, and citizens do not have the power to vote them out of office directly.
The re-election of government legislators directly affects “The Affordable Care Act (ACA),” and those directly affected are those adults covered by Medicaid. Through
the re-election for Medicaid expansion, previously included subsidies are being eliminated, along with Medicaid funding and consumer protection. Those at risk of losing
medical coverage and financial assistance benefits oppose the repeal. This opposition has dramatically affected public repeal and the voting process and is responsible for
governmental friction. As a leader’s policy choices are adopted, the public becomes limited as to options. A leaders’ policy the choice most often leaves the public having to pay
considerable dollars in return. The Congressional decision-making process influences the Medicare coverage policy for adults (Milstead, and Short, 2019).
ACA provided access for over 50 million Americans that were uninsured or under-insured; the partisan controversy, many of the provisions within the ACA are
up for review and may be cut, leaving millions of Americans without health care in the future. Federal, state, and local governments, along with insurance regulatory agencies, are left to address the uncertain future for health care coverage. There will be a drastic need for advanced practice nurses to enter the health care field to be front line health care providers and lobbyists. Nurses must sound off, be part of the solution to alleviate the problem.
Cost-benefit analysis usually alleviates decision-making concerns, and rule-making becomes transparent to the entire organization and the public. White House
reviews of executive branches help to make the regulatory process accessible to the public. Organizations must then quantify and qualify aspects that are problematic within.
It also allows for officials to understand, challenge calculations, and raise questions about choices made. The cost-Benefit analysis combined with notice-and-comment
rule-making helps to protect problematic organizations from hostile takeovers. The public nature of this process, along with a combined threat of congressional and judicial oversight tends to ward off circling sharks (Rose and Walker, 2013). Ultimately, legislative leaders tend to vote their conscience (favors owed or influences of lobbyists) in non-election years: while election years lead to influential voting based on public opinion.