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The current state of health care in the US after Obama

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Die gespaltenen Staaten von Amerika

Abstract

This article provides a commentary on the Affordable Care Act (ACA), challenges in health care in the US, and the uncertainty regarding the reforms that the new administration will implement. In the short amount of time since the inauguration of Donald Trump, many policy plans have been created and debated concerning health care. These potential plans will see changes in health policy affecting millions of Americans. This article highlights the groups likely to be affected by the new administration’s policy changes, and goes on to evaluate policy options, and the institutional barriers to quality access. These include a discussion on horizontal vs. vertical equity in policymaking, as well as the continued presence of institutional racism in the health care sector. The article ends with an overview of the challenges for the new administration in terms of health care, as of March 10th, 2017, as well as the resistance faced, including groups fighting for reproductive rights and citizens concerned about losing coverage under a new Republican health plan that will potentially ‘repeal Obamacare’—or sections of it.

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References

  • Associated Press. (2017). ‘Insurance for everybody’: Trump vows to improve on Obamacare. Canadian Broadcasting Corporation. http://www.cbc.ca/news/world/trump-health-care-wapo-interview-1.3937124 Accessed: March 9, 2017.

  • Associated Press. (2017). House Republicans unveil bill to repeal Obamacare. Canadian Broadcasting Corporation. http://www.cbc.ca/news/world/obamacare-repeal-bill-republicans-1.4012588. Accessed: March 9, 2017.

  • CDC Health Disparities & Inequalities Report (CHDIR). (2014). National Center for Health Statistics. https://www.cdc.gov/nchs/data/factsheets/factsheet_disparities.pdf. Accessed: March 9, 2017.

  • Decker, S. (2012). In 2011 Nearly One-Third Of Physicians Said They Would Not Accept New Medicaid Patients, But Rising Fees May Help. Health Affairs, Vol. 31, No. 8: Challenges Facing the Safety Net.

    Google Scholar 

  • Field, R. (2015). The Ethics of Expanding Health Coverage through the Private Market. AMA Journal of Ethics. 17:7, (pp. 665–671).

    Google Scholar 

  • Garfield, R., & Damico, A (2016). The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid. Kaiser Family Foundation http://kff.org/uninsured/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/. Accessed: March 3, 2017.

  • Jacobs, L. & Skocpol, T. (2016). Health Care Reform and American Politics: What Everyone Needs to Know, 3rd Edition. Oxford University Press.

    Google Scholar 

  • Kaiser Family Foundation (2015). State Health Facts: Health Insurance Coverage of the Total Population. www.kff.org. Accessed: March 9, 2017.

  • Kochanek, K., Murphy, S., Xu, J., & Tejada-Vera, B. (2016). National Vital Statistics Report. Deaths: Final Data for 2014. Division of Vital Statistics, Vol. 65, No. 4, June 30, 2016. https://www.cdc.gov/nchs/data/nvsr/nvsr65/nvsr65_04.pdf. Accessed: March 3, 2017.

  • Lee, M. J., Collingson, S., & Murray, S. (2017). GOP health care plan clears first hurdle, debate continues in committee. CNN News. March 9, 2017. http://edition.cnn.com/2017/03/08/politics/house-health-care-markup/. Accessed: March 9, 2017.

  • Martinez, M., Zammitti, E., & Cohen, R. (2016). Division of Health Interview Statistics, National Center for Health Statistics Health Insurance Coverage: Estimates from the National Health Interview Survey, January—September 2016. Accessed: March 9, 2017.

    Google Scholar 

  • Medicaid. Affordable Care Act. https://www.medicaid.gov/affordable-care-act. Accessed: March 9, 2017.

  • Mendes, E. (2010). More Americans Went Uninsured in 2009 Than in 2008. Gallup. http://www.gallup.com/poll/124973/americans-went-uninsured-2009-2008.aspx. Accessed: March 9, 2017.

  • Obamacare Facts, Obamacare Medicaid Expansion. http://obamacarefacts.com/obamacares-medicaid-expansion/, Accessed: March 3, 2017.

  • Quadagno, J. (2010). Institutions, Interest Groups, and Ideology: An Agenda for the Sociology of Health Care Reform. Journal of Health and Social Behavior 2010 51: 125. https://doi.org/10.1177/0022146510368931.

  • Patient Protection and Affordable Care Act. Section 1501. Requirement to Maintain Minimum Essential Coverage.

    Google Scholar 

  • Randall, V. (1993). Racist Health Care: Reforming an Unjust Health Care System to Meet the Needs of African-Americans. Health Matrix: Journal of Law-Medicine, (Pp. 127–193).

    Google Scholar 

  • Rosenbaum, S. (2011). The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice. Public Health Reports (1974–??), Vol. 126, No. 1 (January/February 2011), (pp. 130–135). Association of Schools of Public Health.

    Google Scholar 

  • Skidmore, M. (2011). The History and Politics of Health Care in America: From the Progressive Era to the Patient Protection and Affordable Care Act. Poverty & Public Policy, 3: 1, Article 11.

    Google Scholar 

  • Smith, D. (2005). Racial And Ethnic Health Disparities And The Unfinished Civil Rights Agenda. Health Affairs 24, (No.2, pp. 317–324), https://doi.org/10.1377/hlthaff.24.2.317.

  • Wang, E., Choe, M. C., Meara, J. G. & Koempel, J. A. (2004). Inequality of access to surgical specialty health care: why children with government-funded insurance have less access than those with private insurance in Southern California. Pediatrics. 2004 Nov; 114(5), (pp. 584–590).

    Google Scholar 

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Correspondence to Betsy Leimbigler .

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Leimbigler, B. (2018). The current state of health care in the US after Obama. In: Gellner, W., Oswald, M. (eds) Die gespaltenen Staaten von Amerika. Springer VS, Wiesbaden. https://doi.org/10.1007/978-3-658-19923-4_10

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  • DOI: https://doi.org/10.1007/978-3-658-19923-4_10

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  • Publisher Name: Springer VS, Wiesbaden

  • Print ISBN: 978-3-658-19922-7

  • Online ISBN: 978-3-658-19923-4

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