Healthcare Reform - Affordable Care Act Flashcards
Guinta + Allegrante, 1992
The President’s Committee on Health Education: A 20 year retrospective on its politics and policy impact
1971: 1st time president mentioned HeD + declared national priority
Formed president’s committee on HeD
Public + private focal points
-SOPHE = private -Bureau of HeD @ CDC = public
Highly political
Brady + Kessler, 2009
Public Opinion and Health Reform
American support ACA dropped 64% to 51% as costs rolled out
_ support for subsidizing low/middle incomes
^ support for chronically ill HC costs
+Social Insurance
-Americans concerned re: cost
Kemp, 2012
Public Health in the Age of Health Care Reform
Call for universal, preventative HC over 100 yrs old
HC focuses on treating illness, not prevention
Emphasis on PH’s use of prevention, environmental protection + public policy
Pop. is aging: less people to fund Medicare. Need to prevent/postpone Top 3 (cancer, diabetes heart disease).
Focus on SES, beh., + env. to reduce illness and death.
HC=10% of health outcomes. Determinants of health (behs, SES, physical env.) = 90%. Lack of access to HC is not principle driver of illness + death.
Cost-effectiveness of PH interventions are clear. Integrating ph/hc would ^ effectiveness + health outcomes while _ cost.
O’Donnell, 2012
Integrating Health Promotion in the National Agenda: The Perspective of a Grassroots Advocate
Patient Protection and Affordable Care Act signed March 2010!
HP needs to focus on creating national policy. Not effective just to educate, must develop + pass legislation.
1. Enhance science of HP 2. Develop a national HP plan.
National Prevention + HP Strategy is Nation’s first National Prevention Strategy.
4 Strategic Directions
1. Building healthy + safe communities/envs.
2. Expand prev. services in clinical/comm. setting
3. Empower people to make healthy choices
4. Eliminate health disparities.
Kaiser, 2011
Summary of New Health Reform Law
Requires most U.S. citizens to have H.I.
Creates American Health Benefit Exchanges
Mandate = tax penalties for those w/out H.I.
Employer reqs (taxes, fines)
Expand medicaid to 133% FPL
Coverage of prevention services
Wellness programs
Gelman, et al., 2010
Public Opinion on Health Care Reform
Statistical analysis of who does and does not support ACA = sharp divides.
Age + income are most dominant indicators.
^ $ = more opposition
Attitudes stable <60, the opposition ^! (Medicare)
Blendon + Benson, 2010
Public Opinion at the time of the Vote on Health Care Reform
None of the major news polls showed majority support for ACA.
Demographics of support:
Positive - Dems, 18-29, POC, $50k, women
Complex: Support for preexisting conditions, tax breaks for small business, medicare expansion.
