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The Patient Protection and Affordable Care Act of 2010 (PPACA)

The Patient Protection and Affordable Care Act of 2010 (PPACA). David Orentlicher, MD, JD Visiting Professor University of Iowa College of Law. PPACA. We’ll consider What PPACA will do (for patients, providers of health care, employers, insurers and states)

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The Patient Protection and Affordable Care Act of 2010 (PPACA)

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  1. The Patient Protection and Affordable Care Act of 2010(PPACA) David Orentlicher, MD, JD Visiting Professor University of Iowa College of Law

  2. PPACA • We’ll consider • What PPACA will do (for patients, providers of health care, employers, insurers and states) • What Congress might have done differently

  3. PPACA • Much debate and disagreement • We live in a highly partisan era • Many compromises along the way • No public option, for example

  4. On One Hand • A “far-reaching overhaul of the nation’s health care system” • N.Y. Times, March 22, 2010

  5. On the Other Hand • “But what about the roughly 160 million workers and their dependents who already have health insurance through an employer? For many people, the result of the long, angry health care debate in Washington may be little more than more of the same.” • N.Y. Times, Dec. 25, 2009

  6. On One Hand • The legislation “puts into place virtually every cost-control reform proposed by physicians, economists, and health policy experts.” • Peter Orszag & Ezekiel Emanuel, NEJM, August 12, 2010

  7. On the Other Hand • "The job of figuring how to cover uninsured people used up all the political oxygen that was available. They didn't have the energy for costs." • Alan Sager, quoted by McClatchy-Tribune News Service, April 1, 2010

  8. Concerns about PPACA • Did Congress put many more people into a broken health care system instead of also fixing the US health care system? • Was there too much focus on providing more health care and not enough focus on providing better health?

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