scholarly journals Privilege, Oppression and the Affordable Care Act: Cultural Implications for Health Educators

2020 ◽  
Vol 29 (4) ◽  
Author(s):  
Chandra Story ◽  
Hugh Crethar ◽  
Tayler Hall
Keyword(s):  
United States ◽  
Health Disparities ◽  
Preventive Care ◽  
Affordable Care Act ◽  
Quality Care ◽  
The United States ◽  
Health Educators ◽  
Culturally Competent ◽  
Patient Protection ◽  
Cultural Implications

 The United States Patient Protection and Affordable Care Act (ACA) provides an opportunity for more equitable healthcare. Preventive care provisions under the ACA have the potential to address persistent health disparities. However, many health disparities are fueled by issues of privilege and oppression in our society, which lead to inequitable access. Those in positions of privilege may have greater access to quality care, even in light of the ACA. Health educators are equipped to address underpinning issues of oppression and privilege through equitable participation and culturally competent programming.

Interpretative theories as roadmaps to constitutional identity: The case of the United States

2015 ◽  
Vol 4 (3) ◽  
pp. 289-327 ◽  
Author(s):  
OR BASSOK
Keyword(s):  
United States ◽  
National Identity ◽  
Affordable Care Act ◽  
Focal Point ◽  
The United States ◽  
American Identity ◽  
American Constitution ◽  
Patient Protection ◽  
American National Identity ◽  
Constitutional Identity

AbstractAs long as the American Constitution serves as the focal point of American identity, many constitutional interpretative theories also serve as roadmaps to various visions of American constitutional identity. Using the debate over the constitutionality of the Patient Protection and Affordable Care Act, I expose the identity dimension of various interpretative theories and analyse the differences between the roadmaps offered by them. I argue that according to each of these roadmaps, courts’ authority to review legislation is required in order to protect a certain vision of American constitutional identity even at the price of thwarting Americans’ freedom to pursue their current desires. The conventional framing of interpretative theories as merely techniques to decipher the constitutional text or justifications for the Supreme Court’s countermajoritarian authority to review legislation and the disregard of their identity function is perplexing in view of the centrality of the Constitution to American national identity. I argue that this conventional framing is a result of the current understanding of American constitutional identity in terms of neutrality toward the question of the good. This reading of the Constitution as lacking any form of ideology at its core makes majority preferences the best take of current American identity, leaving constitutional theorists with the mission to justify the Court’s authority to diverge from majority preferences.

scholarly journals The impact of the Patient Protection and Affordable Care Act on insurance coverage and cancer‐directed treatment in HIV‐infected patients with cancer in the United States

Cancer ◽  
2019 ◽  
Vol 126 (3) ◽  
pp. 559-566 ◽  
Author(s):  
Kelsey L. Corrigan ◽  
Leticia Nogueira ◽  
K. Robin Yabroff ◽  
Chun Chieh Lin ◽  
Xuesong Han ◽  
...  
Keyword(s):  
United States ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
The United States ◽  
Patients With Cancer ◽  
Patient Protection ◽  
The Impact

Better Than Nothing: Participant Experiences in Using a County Health Plan

2012 ◽  
Vol 34 (4) ◽  
pp. 13-18 ◽  
Author(s):  
Kimberly Rovin ◽  
Rebecca Stone ◽  
Linda Gordon ◽  
Emilia Boffi ◽  
Linda Hunt
Keyword(s):  
United States ◽  
Health Care ◽  
Health Insurance ◽  
Affordable Care Act ◽  
The United States ◽  
United States Government ◽  
Patient Protection ◽  
Access To Health ◽  
History Of ◽  
Better Than

The United States health care system has reached a crisis point, with 49.9 million Americans now living without health insurance (DeNavas-Walt, Proctor, and Smith 2011). The United States government has responded to this crisis in a variety of ways, perhaps the most visible being the enactment of the Patient Protection and Affordable Care Act (ACA) in March 2010. With a goal of expanding access to health insurance to 32 million Americans by 2019, the ACA marks an important moment in the history of United States health care reform with the potential to drastically change the United States health insurance landscape (Connors and Gostin 2010). The law delineates only general categories of required benefits and leaves it to each state to decide the specific benefits that will be provided by the insurers in their state (Pear 2011).

scholarly journals Evolution of Physician-Centric Business Models Under the Patient Protection and Affordable Care Act

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Tanya Nix ◽  
Lynn Szostek
Keyword(s):  
United States ◽  
Medical Care ◽  
Affordable Care Act ◽  
Business Models ◽  
Healthcare Delivery ◽  
The United States ◽  
New Paradigm ◽  
Medical Specialties ◽  
Patient Protection ◽  
The Cost

For decades, the cost of medical care in the United States has increased exponentially. United States citizens spend twice as much as their European counterparts on medical care. Congress enacted the Patient Protection and Affordable Care Act (PPACA) to ensure affordable healthcare to the citizens of the United States. PPACA legislation is creating a new paradigm in healthcare delivery and provider business models. The purpose of this case study was to explore physicians’ perspectives regarding physician-centric business models evolving under the requirements of the PPACA legislation. Data were gathered through semistructured interviews and questionnaires with a purposive sample of 75 participants across 20 medical specialties within the United States. Three universal themes emerged including (a) use of midlevel practitioners, (b) changes to provider practices, and (c) enhanced business education. Healthcare leaders may use the findings to advance the evolution of physician business models that meet the needs of healthcare stakeholders.

scholarly journals Rights to Healthcare in the United States: Inherently Unstable

2012 ◽  
Vol 38 (2-3) ◽  
pp. 326-347 ◽  
Author(s):  
David Orentlicher
Keyword(s):  
United States ◽  
Affordable Care Act ◽  
The United States ◽  
Access To Healthcare ◽  
The Political ◽  
Patient Protection ◽  
Full Effect ◽  
Healthcare Coverage ◽  
The U.S ◽  
Over Time

Although international covenants have long recognized a fundamental right to healthcare, and other countries provide healthcare coverage for all of their citizens, rights to healthcare in the United States have been adopted only grudgingly, and in a manner that is inherently unstable. While a solid right to healthcare would provide much benefit to individuals and society, the political and judicial branches of the U.S. government have granted rights that are incomplete and vulnerable to erosion over time.Unfortunately, enactment of the Patient Protection and Affordable Care Act (ACA) does not change these fundamental weaknesses in the regime of U.S. healthcare rights. Millions of Americans will remain uninsured after ACA takes full effect, and rather than creating a more stable right to healthcare, ACA gives unstable rights to more people. As a result, even if ACA survives its constitutional challenges, access to healthcare still will be threatened by the potential for attrition of the rights that ACA provides.

Fraud and Abuse Law in the United States

2020 ◽  
Author(s):  
Joan H. Krause
Keyword(s):  
United States ◽  
Primary Care ◽  
Health Insurance ◽  
Affordable Care Act ◽  
The United States ◽  
Care Physician ◽  
Medicare Reimbursement ◽  
Patient Protection ◽  
Healthcare Needs ◽  
The Us

This chapter focuses on healthcare fraud, which remains a significant problem in the United States despite years of increased fraud enforcement. It describes the US federal government's anti–fraud activities, which include expanding the range and severity of laws targeting healthcare fraud. It also points out the role played by the United States' lack of a centralized, universal program of health insurance, which causes healthcare to be paid for by a variety of public, private, and hybrid sources. This chapter mentions the strategy of capitation as the strictest mechanism for managing care, in which a primary care physician receives a fixed per–patient payment in return for meeting the patient's healthcare needs during a set period of time. It also looks at changes made to Medicare reimbursement under the Patient Protection and Affordable Care Act (ACA) that reward providers for the “value” rather than the volume of services provided.

Government Intervention in Health Care Markets is Practical, Necessary, and Morally Sound

2012 ◽  
Vol 40 (3) ◽  
pp. 547-557 ◽  
Author(s):  
Len M. Nichols
Keyword(s):  
United States ◽  
Health Care ◽  
Affordable Care Act ◽  
Health Reform ◽  
The United States ◽  
Evidence Based ◽  
Health Care Markets ◽  
Health Care Market ◽  
The Public ◽  
Patient Protection

The intensity of the opposition to health reform in the United States continues to shock and perplex proponents of the Patient Protection and Affordable Care Act (PPACA). The emotion (“Abort Obama”) and the apocalyptic rhetoric (“Save our Country, Protect our Liberty, Repeal Obamacare”), render civil and evidence-based debate over the implications and alternatives to specific provisions in the law difficult if not problematic. The public debate has largely barreled down two non-parallel yet non-intersecting paths: opponents focus on their fear of government expansion in the future if PPACA is implemented now, while proponents focus on the urgency and specifics of our health care market problems and the limited number of tools we have to address them. Frustration on both sides has led opponents to deny the seriousness of our health system’s problems and proponents to ignore the risk of governmental overreach. These non-intersecting lines of argument are not moving us closer to a desired and necessary resolution.

scholarly journals Affordable Care Act: A review and discussion of its impact on healthcare today, and a primer for pharmacists

2013 ◽  
Vol 4 (1) ◽  
Author(s):  
Leo Lai Ho Lui ◽  
Albert Wertheimer
Keyword(s):  
United States ◽  
Patient Care ◽  
Affordable Care Act ◽  
Healthcare Costs ◽  
Healthcare Professionals ◽  
The United States ◽  
Patient Protection ◽  
The Future ◽  
The Impact

In the midst of countless healthcare debates, the Patient Protection and Affordable Care Act is written into legislation as a possible solution to the United States's rising healthcare costs. Individualized into nine titles, the act sought to provide additional coverage to millions of Americans while cutting down healthcare costs through numerous provisions effective into 2020. While the act has been challenged publicly and privately by the states, many healthcare professionals today, let alone the average American, are unaware and uneducated of what comprises the act, as well as the impact in which it has on the future of healthcare in the United States. With an increasing role of patient care placed upon pharmacists today, an understanding of the PPACA allows us to provide extensive answers to questions in which our patients may have.   Type: Student Project

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