PUBHLTH 122 Lecture Notes - Lecture 10: Patient Protection And Affordable Care Act, Theodore Roosevelt, Health Insurance Mandate

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Discusses the history of health reform in the us and details the key provisions of the affordable care act (aca) Focuses on: previous attempts at national health reform, why health reform is difficult to achieve, the passage and provisions of the aca. There have been numerous health reform attempts in the us: prior to 2010, all attempts at national health reform to create universal or near-universe coverage have failed, some successes at the state level. Why did the aca pass when so many prior attempts had failed: commitment and leadership, learned lessons from past failures, political pragmatism. Individual mandate most people have to purchase health insurance or pay a penalty staring in 2014: exemptions for certain populations and based on affordability. State health insurance exchanges: american health benefit exchanges for individuals, small business health options program for small businesses, must offer essential health benefits (abortion compromise, four cost levels for plans based on actuarial value.

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