THE EVOLUTION AND RATIONALE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA) JO SEPH G LA D STO NE, PHD , M PH A SSISTA N T P RO FESSO R D EP A RTM EN T O F P UBLIC HEA LTH SC IEN C ES
MAIN PROBLEM • He a lth c a re is c o stly • I nsura nc e pre miums c o nsta ntly inc re a se • Po pula tio n is a g ing
EVOLUTION • Gre a t De pre ssio n • 1945: T ruma n • 1960: K e rr Mills • 1965: T itle s XVI I I a nd XI X • 1970’ s: Me dic a re c o ve ra g e e xpa nde d a nd ma na g e d c a re pla ns initia te d
EVOLUTION • 1980’ s: Ho spic e c a re a nd c o st c o ntro l e ffo rts • 1990’ s: Ba la nc e d Budg e t Ac t • 2000’ s: Me dic a re Mo de rniza tio n Ac t • 2010: PPACA
POLITICAL HOT-POTATO • AMA lo b b ie d a g a inst Me dic a re • Gra ssro o ts e ffo rts b y e lde rly influe nc e d re pe a l o f Me dic a re Ca ta stro phic Co ve ra g e • Me dic a re is 15% o f fe de ra l b udg e t
TODAY’S CONFERENCE • T o da y’ s pre se nta tio ns will disc uss the g re a te st e vo lutio n in a c c e ssib le he a lthc a re in the Unite d Sta te s a nd ho w it a ffe c ts Ne w Me xic o
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