scholarly journals Contextualizing the first-round failure of the AHCA: down but not out

2017 ◽  
Vol 9 (6) ◽  
pp. 595-600 ◽  
Author(s):  
Joshua A Hirsch ◽  
Andrew B Rosenkrantz ◽  
Greg N Nicola ◽  
H Benjamin Harvey ◽  
Richard Duszak ◽  
...  

On 8 November 2016 the American electorate voted Donald Trump into the Presidency and a majority of Republicans into both houses of Congress. Since many Republicans ran for elected office on the promise to ‘repeal and replace’ Obamacare, this election result came with an expectation that campaign rhetoric would result in legislative action on healthcare. The American Health Care Act (AHCA) represented the Republican effort to repeal and replace the Affordable Care Act (ACA). Key elements of the AHCA included modifications of Medicaid expansion, repeal of the individual mandate, replacement of ACA subsidies with tax credits, and a broadening of the opportunity to use healthcare savings accounts. Details of the bill and the political issues which ultimately impeded its passage are discussed here.

Data Mining ◽  
2011 ◽  
pp. 350-365 ◽  
Author(s):  
Fay Cobb Payton

Recent attention has turned to the healthcare industry and its use of voluntary community health information network (CHIN) models for e-health and care delivery. This chapter suggests that competition, economic dimensions, political issues, and a group of enablers are the primary determinants of implementation success. Most critical to these implementations is the issue of data management and utilization. Thus, health care organizations are finding value as well as strategic applications to mining patient data, in general, and community data, in particular. While significant gains can be obtained and have been noted at the organizational level of analysis, much attention has been given to the individual, where the focal points have centered on privacy and security of patient data. While the privacy debate is a salient issue, data mining (DM) offers broader community-based gains that enable and improve healthcare forecasting, analyses, and visualization.


2019 ◽  
Vol 51 (3) ◽  
pp. 129-140
Author(s):  
John G. Kilgour

The alarming increase of higher education and the resulting growth of student debt in recent years has resulted in a number of employers adopting programs to assist employees with 529 college savings plans. However, the design or adoption of such plans is complicated. They are 529 prepaid tuition plans, educational savings plans or Coverdell Educational Savings Accounts. Many states offer tax deductions, tax credits or grants. Fees and expenses vary significantly among the different types of plans and from state to state as does investment performance. This article examines these matters from the perspective of an employer considering the adoption of a 529 or other college savings plan as an employee benefit.


2012 ◽  
Vol 366 (13) ◽  
pp. e19
Author(s):  
Samuel Y. Sessions ◽  
Allan S. Detsky

2019 ◽  
pp. 0095327X1987887 ◽  
Author(s):  
Dongjin Oh ◽  
Frances Stokes Berry

In December 2017, Congress repealed the individual insurance mandate penalty. Given the poor health status of veterans, their higher demands for health insurance, and the substantial number of uninsured veterans, the repeal of the individual mandate should have a significant impact on the veterans. This article investigates how the repeal of the individual mandate effective in January 2019 is likely to affect the number of uninsured veterans and their enrollments in Veterans Affairs (VA) insurance. By analyzing 52,692 nonelderly veterans in Florida and California from 2008 to 2017, the findings suggest that the repeal will lead to a considerable increase in the number of uninsured veterans. Veterans who are unemployed, poor, and suffering disabilities are more likely to sign up for the VA insurance than better-off veterans. Thus, one of the important functions of veteran health care is to serve as a social safety net for vulnerable veterans. Thus, the Veterans Health Administration should establish a policy to minimize the expected negative repercussions of the repeal.


2014 ◽  
Vol 50 (4) ◽  
pp. 607-628 ◽  
Author(s):  
Gert-Jan Put ◽  
Bart Maddens

This article examines the effect that municipality size and local office have on election candidates’ results. We argue that candidates from the larger municipalities have comparatively larger relevant networks, both in terms of constituents and party grassroots volunteers. In addition, these candidates appeal to a relatively larger share of voters within the constituency. We expect that the relative size of the candidates’ municipality will have a positive effect on the relative number of preferential votes they receive in the constituency and will interact with the effect that holding local office has on the individual election result. While the empirical analysis does not show support for the idea that municipality size will have a significant effect, the expected interaction between local office and municipality size is confirmed. The electoral advantage of being mayor, alderman or local councillor seems to increase with the relative size of the municipality in the district.


1966 ◽  
Vol 60 (1) ◽  
pp. 66-72 ◽  
Author(s):  
Charles F. Cnudde ◽  
Donald J. McCrone

Warren E. Miller and Donald E. Stokes' publication in 1963 of a preliminary report on the Survey Research Center's representation study is an important landmark in the development of empirical political theory. That report addressed itself to the crucial theoretical question of the linkage between mass political opinions and governmental policy-making. More specifically, the report found considerable policy agreement between Congressional roll call votes and the attitudes of the individual Congressman's constituency. This policy agreement was then interpreted through several causal paths and the Congressman's perception of his constituency's attitudes was found to be the main path by which the local district ultimately influenced Congressional outputs.The main body of the report dealt with the broad civil rights issue dimension, and, by specifying the perceptual path by which constituency influence is brought to bear, documented the effect of political issues despite the generally low level of political information held at the mass level. Thus, the Congressmen, through their broad cognitive evaluations, were aware of how far they could proceed in determining their civil rights roll call votes on the basis of their own attitudes before risking the displeasure of their constituents.Beyond such major substantive contributions the representation study introduced to political science a variance-apportioning technique similar to that developed by Sewall Wright, in 1921. Through this variance-apportioning technique, the importance of the perceptual link was isolated and evaluated. This study, then, symbolizes the growing recognition in political science of the importance of more sophisticated methodological tools in the process of theory building.


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