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Shared Responsibility, Shared RiskGovernment, Markets and Social Policy in the Twenty-First Century$
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Jacob Hacker and Ann O'Leary

Print publication date: 2012

Print ISBN-13: 9780199781911

Published to Oxford Scholarship Online: February 2015

DOI: 10.1093/acprof:osobl/9780199781911.001.0001

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Health Care Reform 2.0

Health Care Reform 2.0

Fulfilling the Promise of the Affordable Care Act

Chapter:
(p.185) 10 Health Care Reform 2.0
Source:
Shared Responsibility, Shared Risk
Author(s):

Jacob S. Hacker

Publisher:
Oxford University Press
DOI:10.1093/acprof:osobl/9780199781911.003.0010

This chapter explains the Patient Protection and Affordable Care Act (ACA), a health care reform initiative by President Barack Obama that aims to provide insurance coverage to more than 30 million Americans by 2019. It examines some of the key provisions of ACA, such as comprehensive new regulation of private health insurance and creation of new insurance-purchasing organizations known as exchanges. Under ACA, Medicaid for the poor, aged, and disabled will also be reorganized. The chapter first provides a historical background on health coverage in the United States before turning to a discussion of the problems that the ACA was designed to address, including gross uninsurance and underinsurance, high medical debt, and uncontrolled benefit costs. It then argues that ACA must be strengthened to ensure that its promises will be fulfilled.

Keywords:   health care, Patient Protection and Affordable Care Act, health care reform, health insurance, exchanges, Medicaid, United States, uninsurance, underinsurance

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