Patient Protection and Affordable Care Act, affectionately named Obama care, has been the target of a substantial amount of negative opinions and press. It has been attacked as an overreach of the federal government due to the mandates regarding coverage and fines that will be in effect for business owners and individuals. Arkes (2011) tells us that, “Some of our most accomplished lawyers have sought to argue that Obama care represents "a bridge too far," that if the federal government can manage the access of individuals to their medical care, there is virtually no limit to what it can do, either in exercising every power now exercised by local governments or deeply invading the zone of personal freedom” (p. 42).
What the basic fear of most Americans is that if we are mandated to get healthcare insurance, then where that government control will end. The argument, according to Arkes (2011), “has been that many other products may plausibly serve the public health, and so people could be compelled, perhaps, to purchase broccoli or electric cars” (p. 43). With an American economy, which seems to offer no light at the end of the financial tunnel, big government urging any extra expenditures in any family, seems too much to ask.
Even though at first look the big brother perception of Obama care, may cause people to avoid seeing the big picture. For instance there is legislation that is part of the Patient Protection and Affordable Care Act that may cause reform that is desperately needed. The Physician PaymentsSunshine Act is a small part of Obama care package which according to Klebanow (2012), “requires all manufacturers of drugs, biological, and medical devices to disclose on an online database payments to physiciansand teaching hospitals amounting to more than $100 per year” (p. 22). This legislation does have the potential to cause much more expenditures for pharmaceutical companies and medical service providers. However, it does serve to keep doctors and pharmaceutical companies playing fair and honest. Perhaps with this type of legislation there may be fewer medications recommended by doctors, who know of bad side effects yet prescribe medications due to outside pressure.
Healthcare costs for the private sector have increased in recent years so too has the government spending on Medicare and Medicaid. The United States deep in recession and national debt at an all time high legislators have been able to temporarily set aside party line divisions and approve the White House supported Affordable Care Act of 2010. Officially, “The health care law offers clear choices for consumers …” (U.S. Dept. Health and Human Services, 2012) the purpose behind it is to provide greater access to reasonable care for at-risk groups such as college students, low income, seniors, children, those with chronic conditions and disabilities which covers a greater portion of America than is currently supported on Medicaid/Medicare.
Government spending on Medicaid and Medicare has since 1983 been on a pay-per-service system where a reasonable fixed amount is attached to each diagnosis-related group “since the government’s payment per patient is…fixed, every dollar spent by the hospital on the patient means a dollar less in hospital revenue.” (Kotlikoff, 2007). Some hospitals cut corners to boost revenue generated from an increasing pool of Medicaid and Medicare patients which led to public mistrust of government healthcare in general. The system as it stood prior to 2010 was not sustainable runaway spending on Medicaid and Medicare “…reflects real benefit levels that have been rising at a much faster clip than real income per capita…” (Kotlikoff, 2007) so when the recession seemed to last longer than anticipated the government was forced to finally make an effort to protect itself and its citizen’s budgets.
Universal HealthcarePresented by: Craig Colburn, Patrick Cuff, Juli Molecavage, Bill Perkins, Cleon Sellers, Alisia Simon Course: SOCI-4080-18, Social Responsibility Instructor: Corey Vigdor Date: May 19, 2012
Obama Care• Patient Protection and Affordable Care Act• Substantial Target• “A bridge too far”• No limit• Federal/Local Government
Basic Fear“Many other products may plausibly serve the public health, and so people could be compelled, perhaps, to purchase broccoli or electric cars.” - Arkes, H. (2011)
Physician Payments Sunshine Act• Patient Protection and Affordable Care Act• Legislation• Requires all manufacturers of drugs, biological, and medical devices• Cause more expenditures
Healthcare Costs• Cost for private sector has increased• Affordable Care Act of 2010• Recession & National Debt• Clear choices for consumers• Provide greater access
Medicaid and Medicare• Pay-per-service system• Hospitals cut corners• Public mistrust of government healthcare• Sustainable runaway spending on Medicaid and Medicare
References• Arkes, H. (2011). Natural rights trump obamacare, or should. First things: a monthly journal of religion & public life, (218), 41-46.• Goldman, D. , Sood, N. (2006) Health Affairs, 25, no.5. Rising Medicare Costs: Are We In Crisis? Retrieved from: http://content.healthaffairs.org/content/25/5/w389.full.html• Halvorson, G. (2007). Understanding the trade-offs of the Canadian health system. Heathcare Financial Management, 82-84.• H.R. 4872 (111th): Health Care and Education Reconciliation Act of 2010 -for-medicare/
References Continued• Kennedy, E. (2009). „The cause of my life.‟ Inside the fight for universal healthcare. Newsweek, 154(4), 34-39.• Klebanow, D. (2012). Obamacare Remains on the March. USA today magazine, 140(2800), 22-24.• Kotlikoff, L. (2007, Oct). Healthcare Fix : Universal Insurance for All Americans. MIT Press. Cambridge, MA.• Onegeeksolutions. (2012, May 19). ObamaCare decide 4 yourself . Retrieved from http://www.youtube.com/watch?feature=player_detailpage&v=CTY-zj4DGrs• Seidman, G. (2010). Is a flat-line a good thing? On the privatization of Israel‟s healthcare system. American Journal of Law & Medicine, 36, 452-481.
References Continued• Senger, Alyene: IPAB Spells Gloom And Doom For Medicare. Retrieved from:http://blog.heritage.org/2012/02/28/ipab-spells-gloom-and-doom• Troy, Tevi (2012). Obama Care in the Supreme Court. Commentary, Feb2012, Vol. 133 Issue 2, p20-24, 5p http://web.ebscohost.com.ezp.waldenulibrary.org/ehost/results?sid=1f9034cd- cef9-470f-a933- cf857b173ebc%40sessionmgr13&vid=4&hid=17&bquery=obama+care&bdata=J mRiPWE5aCZjbGkwPUZUJmNsdjA9WSZ0eXBlPTEmc2l0ZT1laG9zdC1saXZlJ nNjb3BlPXNpdGU%3d#1• U.S. Department of Health & Human Services (2012). The Health Care Law and You. Retrieved from: http://www.healthcare.gov/law/resources