This essay portrays the essential features of that story and of the law that survived the battle: the Patient Protection and Affordable Care Act (PPACA). The political and legal conflicts leading up to and following PPACA’s enactment are described.
The major features of the law are explained, and the issues remaining to be addressed are set out.
The criticisms had an effect on public perceptions, as the complex and poorly understood health reform proposals never commanded majority support in opinion polls.
Nevertheless, Democratic majorities in the House and Senate passed differing versions of health reform in the autumn of 2009, opposed by almost all Republicans in the House and all in the Senate.
Although ethnicity is correlated with lack of health insurance, the ethnic group least likely to have insurance is not African-Americans, as many believe; it is Hispanics.
More than one-third of Hispanic workers (33.8%) were uninsured in 2008, compared with 11.7% of African-Americans and 8.4% of Caucasians and others. are significantly worse than rates in deficit-wracked countries such as Greece and Portugal, and more than double those in Japan.
PPACA ambitiously seeks to address all three simultaneously – while furthering principles of justice as well.
This essay concludes that the new law will increase access to care, covering most Americans who are now uninsured and making America a somewhat more just society.
The essay concludes that the law is poised to achieve genuine progress toward increased access to health care, but that the law’s aims of improving quality and controlling costs are far less certain of accomplishment.
The story of America’s historic health care reform, still unfolding, is a tale of polarized ideology, complex and brutal politics, perverse economics, and high-level legal battle against a background of a health care system in disarray. health care system and how it compares in terms of costs and results with other advanced nations’ systems.