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Health Care

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Vicky Nguyen

on 29 May 2013

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Transcript of Health Care

Future Problems Policy Actors Iron Triangles History and
Overview The Product GOP's Opinion Health Evaluating the Constitutionality of the Obamacare Opposition of the GOP *Proposed by Harry S Truman to finance all Americans' medical care
*Opposed by American Medical Association
- Accused of socializing medicine- controlled by gov't National Health Insurance *Added to the Social System in 1965 by Congress
-Covers about 40 million people
*Provides insurance for the elderly and coverage for doctor fees
*Most rapidly increasing component of fed. budget- costs will outrun revenue
*Cut backs on fees that it will pay doctors- fewer doctors who will treat Medicare patients Medicare *Program that provides health care for the poor
-Covers about 42.7 million people
*Funded by both state and national gov't
*For the poorest of the poor- 42% of the people below the poverty line qualify
*First to go during cuts- the poor won't be affected as much Medicaid Care Resources The Fate of Health Care Beyond 2014 Obama's Health Care Plan Comic Strip Game *AKA Patient Protection and Affordable Care Act
- Signed into law on March 23, 2010
-Provide affordable health care to 44 million uninsured Americans
-Reduce health care spending *Uninsured Americans will be eligible to purchase coverage through Online Health Care Exchange
-Online Marketplace where Americans can shop for best suited health insurance National Federation of Independent Business
V. Sebelius *Upheld Congress's power to enact provisions of Patient Protection & Affordable Care Act and Health &Education Reconciliation Act
*Requires most Americans to have health insurance by 2014
*Gave states a choice to create health exchange without loss of Medicaid funding. Senate Finance Committee Department of Health & Human Services * Cabinet
* Secretary: Kathleen Sebelius (D)
* enforces congressional mandates
* Centers for Disease Control & Prevention (CDC)
- protect and respond to public's health
- control spread of diseases
* Centers for Medicare & Medicaid Services (CMS)
- Medicare, fed. part of Medicaid
- State Children's Health Insurance
Program Federal Trade Commission V. Watson Pharmaceuticals *Decide whether name- brand drug companies can pay generic companies to delay putting cheaper versions on the market.
*$3.5 billion annually estimated cost name-brand companies spend on delays
*Ruling to restrict deals will save about $2.5 billion
*Debate over the patent of name- brand drugs
- Argues that generics go on market before the patent expires
-FTC argues that pay-for-delays support an anti- competitive market
-Constitutional or not? MedPAC * independent agency
* advise Congress about Medicare
- payments to private health plans
& providers
* review access to and quality of care Lowered cost of Health Care
subsidies, mandates, tax credit
Republicans oppose health care plan
More insurance in liberal states
Ex: Colon cancer is approx. 16 percent higher in states that oppose Medicaid expansion Patient Protection and Affordable Care act is constitutional because of:
The Commerce Clause
1. Everyone needs health care
2. Everyone at some point in their lives will need health care, regardless of whether or not they can afford it * By 2014, everyone is required to have
medical care
- Estimated that 1% of the population
will not by 2016. They will be fined Patient in Colorado, proponent of Obamacare Close gap between the richer and poorer residents
Medicaid is funded by both the federal and state
discrepancies between state expansion lead to difference in medicaid between states
Ex: Texas Residents making less than what is considered impoverished --> Medicaid program
whim of the state
States with GOP governors oppose expansion of health care
According to LA times, "resisted months of lobbying from doctors, hospitals and business leaders"
These few states are preventing GOP state legislators from taking further action
Ex: Florida, Ohio, Michigan *Chairman: Max Baucus (D)
- decide on healthcare expenses
- choose which bills to pass through committee Should reduce the deficit by 210 billion dollars in a decade
1 trillion in 20 years Individual families also save an average of 2,300 dollars ugh lame Access Quality Cost Bureaucratic Agencies Interest Groups * Social Security Administration *AARP (American Association of Retired Persons)

*AMA (American Medical Association)

*APHA (American Public Health Association)

*HIAA (Health Insurance Association of America)

*IHF (Institute for Health Freedom

*PNHP (Physicians for a National Healthcare Program)

- Because of the large numbers members within interest groups and due to collective actions, interest groups greatly influence policy making By: Vicky, Caroline, Christy, Ahmad and John Congress * House Committee on Aging -Responsible for the formulation of policy of
the health care program
- The SSA negotiates with interest groups
- It also negotiates with the State agencies
that certify health facilities for the health
- The SSA works with hospitals and other
institutions so services for the program can
be provided.
- The SSA formulates Medicare regulations - This committee initially had 35 members
- Hearings were held and published to present the problems facing the elders with Health programs
raising awareness of the abuse of old patients
- Through the work of this committee, legislation was passed to reform nursing home operations and old patients' abuse.
- It manages to see how programs for the elders
be applied or in some cases improved.
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