Legal Barriers to Affordable Healthcare Access

Published on August 7, 2025

by Jonathan Ringel

In the United States, access to quality healthcare has long been a contentious issue. While advancements in medical technology have greatly improved the overall health of the population, the rising costs of healthcare continue to be a major obstacle for many individuals and families. With healthcare spending continuing to rise, it is important to understand the legal barriers that make it difficult for individuals to access affordable healthcare. In this article, we will explore some of the legal barriers that hinder access to affordable healthcare and their impact on the well-being of individuals and society as a whole.Legal Barriers to Affordable Healthcare Access

The Affordable Care Act and its Impact on Healthcare Access

One of the most significant legal barriers to affordable healthcare access in the United States was the lack of a comprehensive healthcare policy. This changed with the passage of the Affordable Care Act (ACA) in 2010. The ACA, also known as Obamacare, aimed to make healthcare more affordable and accessible to Americans by providing subsidies and expanding Medicaid coverage to low-income individuals. However, the ACA has faced numerous legal challenges, and its implementation has been a point of contention between political parties.

Supreme Court Decisions on the ACA

Since its passage, the ACA has been challenged in the Supreme Court multiple times. In 2012, the Supreme Court ruled that the individual mandate, which required individuals to have health insurance or pay a penalty, was constitutional. However, in 2017, the individual mandate was struck down as a result of the Tax Cuts and Jobs Act, which reduced the penalty for not having health insurance to $0. This decision has raised concerns about the future of the ACA and its ability to provide affordable healthcare.

Health Insurance Marketplaces and Affordability

While the ACA aimed to provide affordable healthcare for all Americans, one of its shortcomings was the lack of regulation on health insurance premium prices. Health insurance companies were free to set their own prices, leading to significant variations in premiums across states and plans. This created a barrier for individuals who struggled to afford the rising costs of health insurance premiums.

The Medicaid Expansion Debate

One of the provisions of the ACA was the expansion of Medicaid, the government health insurance program for low-income individuals. However, many states chose not to expand their Medicaid programs, leaving millions of individuals without access to affordable healthcare. This decision was met with legal challenges, with some arguing that it was discriminatory to deny low-income individuals access to healthcare based on their state of residence.

Patent Laws and the High Cost of Prescription Drugs

The skyrocketing cost of prescription drugs in the United States is another major barrier to affordable healthcare. This is primarily due to the patent laws in the country, which allow pharmaceutical companies to maintain monopolies on their drugs for extended periods. This lack of competition leads to inflated prices, making it difficult for individuals to afford the medications they need.

The Impact on Vulnerable Populations

The high cost of prescription drugs has a significant impact on vulnerable populations, such as the elderly and those with chronic illnesses. Many individuals in these groups are on fixed incomes and struggle to afford their necessary medications, leading to skipped doses and worsening health conditions. This not only affects the well-being of these individuals but also adds to the overall burden on the healthcare system.

The Role of Legal Aid in Improving Access to Affordable Healthcare

While there are numerous legal barriers to affordable healthcare access, there are also organizations dedicated to addressing these issues. Legal aid programs, which provide legal services to low-income individuals, have played a crucial role in helping individuals navigate the complex legal system and overcome barriers to healthcare. These programs offer assistance with issues such as Medicaid eligibility and challenging unfair medical bills, providing much-needed support for those who cannot afford expensive legal fees.

The Need for Continued Efforts to Improve Healthcare Access

While the ACA and other policies have made progress towards affordable healthcare access, there is still much work to be done. Legal barriers continue to hinder individuals from accessing the care they need, and the high costs of healthcare remain a burden for many. It is essential that policymakers and healthcare professionals continue to work towards creating a more accessible and affordable healthcare system for all Americans.

In conclusion, legal barriers play a significant role in limiting access to affordable healthcare in the United States. From the ACA’s ongoing legal challenges to the high cost of prescription drugs, these barriers have adverse effects on the well-being of individuals and the overall healthcare system. However, with efforts from organizations and policymakers, progress can be made towards addressing and overcoming these barriers, ensuring that all individuals have access to quality healthcare at an affordable price.