Let's Fix Medicare, Replace Medicaid, and Repealthe Affordable Care Act

Let's Fix Medicare, Replace Medicaid, and Repealthe Affordable Care Act
Author: Lindsay L. Pratt
Publisher: Author House
Total Pages: 97
Release: 2012-01-11
Genre: Health & Fitness
ISBN: 1467882380

If you are you a Medicaid patient, or if you are a patient without any health insurance, Im aware of the difficulty you have had, and are having, obtaining your healthcare services, and I agree with you. The existing investor owned and profit driven healthcare delivery system is not a friendly delivery system for those patients unable to pay for their healthcare services. But, in its place, if you are supporting the Affordable Care Act, please reconsider your support, and consider the recommendations in this book. In this book, Im offering everyone without the ability to pay for their healthcare services, the opportunity to obtain the same quality, comprehensive, and easily available healthcare services as the services provided patients who are purchasing their health-care services. Neither Medicaid nor the Affordable Care Act can provide those same services, and the reasons why are discussed in this book. Furthermore, in addition to the difficulty patients with Medicaid and without Medicaid are having obtaining their healthcare services, patients with health insurance, regardless of its source, need to be prepared for the probability, not the possibility, of their having difficulty obtaining their healthcare services in two years when the Affordable Care Act becomes their healthcare delivery system. The frustration with Medicaids inadequate services is understandable, and the confusion about the future among patients with health insurance is understandable. The problem for both is the many articles written about what is happening, and will be happening, in healthcare have not correctly identified the causes of, or offered realistic solutions for, what is happening, and will be happening, in healthcare. The problem with those articles is their misinformation and their use of conjecture. Misinformation is offered in some of those articles to support the authors agenda. Conjecture is used by other authors. They are too young to have witnessed what happened during the 1950s and 1960s to cause what has happened in healthcare.

The Affordable Care Act

The Affordable Care Act
Author: Tamara Thompson
Publisher: Greenhaven Publishing LLC
Total Pages: 130
Release: 2014-12-02
Genre: Young Adult Nonfiction
ISBN: 0737771496

The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.

The Ten Year War

The Ten Year War
Author: Jonathan Cohn
Publisher: St. Martin's Press
Total Pages: 320
Release: 2021-02-23
Genre: Political Science
ISBN: 1250270944

Jonathan Cohn's The Ten Year War is the definitive account of the battle over Obamacare, based on interviews with sources who were in the room, from one of the nation's foremost healthcare journalists. The Affordable Care Act, better known as “Obamacare,” was the most sweeping and consequential piece of legislation of the last half century. It has touched nearly every American in one way or another, for better or worse, and become the defining political fight of our time. In The Ten Year War, veteran journalist Jonathan Cohn offers the compelling, authoritative history of how the law came to be, why it looks like it does, and what it’s meant for average Americans. Drawn from hundreds of hours of interviews, plus private diaries, emails and memos, The Ten Year War takes readers to Capitol Hill and to town hall meetings, inside the West Wing and, eventually, into Trump Tower, as the nation's most powerful leaders try to reconcile pragmatism and idealism, self-interest and the public good, and ultimately two very different visions for what the country should look like. At the heart of the book is the decades-old argument over what’s wrong with American health care and how to fix it. But the battle over healthcare was always about more than policy. The Ten Year War offers a deeper examination of how our governing institutions, the media and the two parties have evolved, and the dysfunction those changes have left in their wake.

The Healthcare Fix

The Healthcare Fix
Author: Laurence J. Kotlikoff
Publisher: MIT Press
Total Pages: 128
Release: 2007-09-07
Genre: Political Science
ISBN: 0262263459

A simple, straightforward, and foolproof proposal for universal health insurance from a noted economist. The shocking statistic is that forty-seven million Americans have no health insurance. When uninsured Americans go to the emergency room for treatment, however, they do receive care, and a bill. Many hospitals now require uninsured patients to put their treatment on a credit card which can saddle a low-income household with unpayably high balances that can lead to personal bankruptcy. Why don't these people just buy health insurance? Because the cost of coverage that doesn't come through an employer is more than many low- and middle-income households make in a year. Meanwhile, rising healthcare costs for employees are driving many businesses under. As for government-supplied health care, ever higher costs and added benefits (for example, Part D, Medicare's new prescription drug coverage) make both Medicare and Medicaid impossible to sustain fiscally; benefits grow faster than the national per-capita income. It's obvious the system is broken. What can we do? In The Healthcare Fix, economist Laurence Kotlikoff proposes a simple, straightforward approach to the problem that would create one system that works for everyone and secure America's fiscal and economic future. Kotlikoff's proposed Medical Security System is not the "socialized medicine" so feared by Republicans and libertarians; it's a plan for universal health insurance. Because everyone would be insured, it's also a plan for universal healthcare. Participants—including all who are currently uninsured, all Medicaid and Medicare recipients, and all with private or employer-supplied insurance—would receive annual vouchers for health insurance, the amount of which would be based on their current medical condition. Insurance companies would willingly accept people with health problems because their vouchers would be higher. And the government could control costs by establishing the values of the vouchers so that benefit growth no longer outstrips growth of the nation's per capita income. It's a "single-payer" plan, but a single payer for insurance. The American healthcare industry would remain competitive, innovative, strong, and private. Kotlikoff's plan is strong medicine for America's healthcare crisis, but brilliant in its simplicity. Its provisions can fit on a postcard and Kotlikoff provides one, ready to be copied and mailed to your representative in Congress.

Overcoming Obamacare

Overcoming Obamacare
Author: Philip Klein
Publisher:
Total Pages: 114
Release: 2015-01-06
Genre: Health care reform
ISBN: 9780692361702

Opposition to Obamacare is stronger than ever, but critics of the law will need to unite around an alternative if they want to move the nation's health care system in a free market direction. In Overcoming Obamacare, the Washington Examiner's Philip Klein, one of the leading conservative health care writers, takes readers inside the fierce debate on the right on how to overhaul the health care system in the wake of Obamacare. Drawing on eight years of experience reporting on the issue, dozens of interviews with prominent health policy experts, and conversations with Republican political leaders including Bobby Jindal and Paul Ryan, Klein articulates a free market vision for health care and presents three competing paths to getting there. Whether you're a conservative fighting to repeal Obamacare or a liberal wondering how Republicans may go about unraveling it, this book is a must read.

50 Vetoes

50 Vetoes
Author: Michael F. Cannon
Publisher: Cato Institute
Total Pages: 65
Release: 2013-03-27
Genre: Political Science
ISBN: 1939709059

The Patient Protection and Affordable Care Act (PPACA) remains vulnerable to repeal, largely because Congress and the Supreme Court have granted each state the power to veto major provisions of the law before they take effect in 2014. The PPACA itself empowers states to block the employer mandate, to exempt many of their low- and middle-income taxpayers from the individual mandate, and to reduce federal deficit spending, simply by not establishing a health insurance "exchange." To date, 34 states have refused to create Exchanges and some 16 states have announced they would not expand their Medicaid programs. Yet the Obama administration is trying to coerce states into implementing parts of the expansion that the Court rendered optional. This special White Paper provides a comprehensive review of the process now occurring between states and the Obama Administration, underscoring how a critical mass of states exercising their vetoes over Exchanges and the Medicaid expansion can force Congress to reconsider, and hopefully repeal, the rest of the PPACA.

The Death Gap

The Death Gap
Author: David A. Ansell, MD
Publisher: University of Chicago Press
Total Pages: 270
Release: 2021-06-16
Genre: Medical
ISBN: 022679671X

We hear plenty about the widening income gap between the rich and the poor in America and about the expanding distance separating the haves and the have-nots. But when detailing the many things that the poor have not, we often overlook the most critical—their health. The poor die sooner. Blacks die sooner. And poor urban blacks die sooner than almost all other Americans. In nearly four decades as a doctor at hospitals serving some of the poorest communities in Chicago, David A. Ansell, MD, has witnessed firsthand the lives behind these devastating statistics. In The Death Gap, he gives a grim survey of these realities, drawn from observations and stories of his patients. While the contrasts and disparities among Chicago’s communities are particularly stark, the death gap is truly a nationwide epidemic—as Ansell shows, there is a thirty-five-year difference in life expectancy between the healthiest and wealthiest and the poorest and sickest American neighborhoods. If you are poor, where you live in America can dictate when you die. It doesn’t need to be this way; such divisions are not inevitable. Ansell calls out the social and cultural arguments that have been raised as ways of explaining or excusing these gaps, and he lays bare the structural violence—the racism, economic exploitation, and discrimination—that is really to blame. Inequality is a disease, Ansell argues, and we need to treat and eradicate it as we would any major illness. To do so, he outlines a vision that will provide the foundation for a healthier nation—for all. As the COVID-19 mortality rates in underserved communities proved, inequality is all around us, and often the distance between high and low life expectancy can be a matter of just a few blocks. Updated with a new foreword by Chicago mayor Lori Lightfoot and an afterword by Ansell, The Death Gap speaks to the urgency to face this national health crisis head-on.

Federalism and Health Policy

Federalism and Health Policy
Author: Alan Weil
Publisher: The Urban Insitute
Total Pages: 448
Release: 2003
Genre: Business & Economics
ISBN: 9780877667162

The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.

Trump, the Administrative Presidency, and Federalism

Trump, the Administrative Presidency, and Federalism
Author: Frank J. Thompson
Publisher: Brookings Institution Press
Total Pages: 258
Release: 2020-09-29
Genre: Political Science
ISBN: 081573820X

How Trump has used the federal government to promote conservative policies The presidency of Donald Trump has been unique in many respects—most obviously his flamboyant personal style and disregard for conventional niceties and factual information. But one area hasn't received as much attention as it deserves: Trump's use of the “administrative presidency,” including executive orders and regulatory changes, to reverse the policies of his predecessor and advance positions that lack widespread support in Congress. This book analyzes the dynamics and unique qualities of Trump's administrative presidency in the important policy areas of health care, education, and climate change. In each of these spheres, the arrival of the Trump administration represented a hostile takeover in which White House policy goals departed sharply from the more “liberal” ideologies and objectives of key agencies, which had been embraced by the Obama administration. Three expert authors show how Trump has continued, and even expanded, the rise of executive branch power since the Reagan years. The authors intertwine this focus with an in-depth examination of how the Trump administration's hostile takeover has drastically changed key federal policies—and reshaped who gets what from government—in the areas of health care, education, and climate change. Readers interested in the institutions of American democracy and the nation's progress (or lack thereof) in dealing with pressing policy problems will find deep insights in this book. Of particular interest is the book's examination of how the Trump administration's actions have long-term implications for American democracy.

Obamacare Wars

Obamacare Wars
Author: Daniel Béland
Publisher: University Press of Kansas
Total Pages: 248
Release: 2023-02-10
Genre: Medical
ISBN: 0700635076

Not five minutes after the Affordable Care Act (ACA) was signed into law, in March 2010, Virginia’s attorney general was suing to stop it. And yet, the ACA rolled out, in infamously bumpy fashion, and rolled on, fought and defended at every turn—despite President Obama’s claim, in 2014, that its proponents and opponents could finally “stop fighting old political battles that keep us gridlocked.” But not only would the battles not stop, as Obamacare Wars makes acutely clear, they spread from Washington, DC, to a variety of new arenas. The first thorough account of the implementation of the ACA, this book reveals the fissures the act exposed in the American federal system. Obamacare Wars shows how the law’s intergovernmental structure, which entails the participation of both the federal government and the states, has deeply shaped the politics of implementation. Focusing on the creation of insurance exchanges, the expansion of Medicaid, and execution of regulatory reforms, Daniel Béland, Philip Rocco, and Alex Waddan examine how opponents of the ACA fought back against its implementation. They also explain why opponents of the law were successful in some efforts and not in others—and not necessarily in a seemingly predictable red vs. blue pattern. Their work identifies the role of policy legacies, institutional fragmentation, and public sentiments in each instance as states grappled with new institutions, as in the case of the exchanges, or existing structures, in Medicaid and regulatory reform. Looking broadly at national trends and specifically at the experience of individual states, Obamacare Wars brings much-needed clarity to highly controversial but little-understood aspects of the Affordable Care Act’s odyssey, with implications for how we understand the future trajectory of health reform, as well as the multiple forms of federalism in American politics.