Wednesday, April 3, 2019

The Affordable Care Act

Oh wow. This is great! It is the best summary of the Affordable Care Act (ACA) purpose and intent that I have seen to date. It is from the article The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice by Sarah Rosenbaum, in the Public Health Reports journal Vol. 126 No. 1, published in 2011.

“Consisting of 10 separate legislative Titles, the Act has several major aims.

The first—and central—aim is to achieve near-universal coverage and to do so through shared responsibility among government, individuals, and employers.

A second aim is to improve the fairness, quality, and affordability of health insurance coverage.

A third aim is to improve health-care value, quality, and efficiency while reducing wasteful spending and making the health-care system more accountable to a diverse patient population.

A fourth aim is to strengthen primary health-care access while bringing about longer-term changes in the availability of primary and preventive health care.

A fifth and final aim is to make strategic investments in the public's health, through both an expansion of clinical preventive care and community investments.”

This is not what people understand, and there is just no way to educate those that don’t want to know more. I will leave you with something I read in a book I am reading for school (reference is Nickitas, below). It is a quote that completely strikes my funny bone, as probably the most ignorant comment about the Affordable Care Act…

Early in President Obama’s first term, when healthcare reform was being proposed, he reported receiving a letter from a woman who did not know the difference between a government and a private health insurance plan. She said, “I don’t want government-run health care. I don’t want socialized medicine. And don’t touch my Medicare” (Cesca, 2009)

Ok, she takes the cake for sure...

...and then for her official winner's certificate...


Nickitas, D. M. Policy and Politics for Nurses and Other Health Professionals, 2nd Ed. Chapter 2, page 15. Retrieved from an e-book online through Western Governors University.

Rosenbaum, S. (2011). The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice. Public Health Reports, 126 (1). Retrieved from

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