Health Care Policy

Why health care policy matters

The problem in three charts

US Health vs the world

Emphasis on elderly

Health care vs health

Complexity of system

Fee for service

Managed care

Government subsidized care

Problems with US system: cost

• Fee-for-service system

• Market failure

• Technology

• Aging Public

• Medical culture

• Prescription drugs

• Administrative costs

• It’s about the price tag

Problem with US system

• Inadequate access

• Why so many uninsured?

• Employer-based issues

• Rationing

Problem with U.S. system: Quality in cross-national perspective

Problem with U.S. system: Quality

• Lack of access

• Focus on sickness instead of health

• Overspecialization

Contemporary Policy

• Medicare

• Medicaid

• ACA/Obamacare

Affordable Care Act/ “ObamaCare” Goals

Affordable Care Act/ “ObamaCare”: Basics/Three-Legged Stool

Affordable Care Act/ “ObamaCare”: What it’s not

Affordable Care Act/ “ObamaCare”: Assessment

“Repeal and Replace” and ACA under Trump

ACA under Biden and the future

Reforms/International Lessons: From abroad

Reforms/International Lessons: Long-term costs issues

Reforms/International Lessons: Political challenges/public opinion

Reforms/International Lessons: Single payer plan

Reforms/International Lessons: Employer mandates

Reforms/International Lessons: Socialized medicine

Reforms/International Lessons:Individual mandates

Reforms/International Lessons: Future of Health Care Reform (as of 2023/24)