Jones & Bartlett Learning Health Blog

    Like a Phoenix from the Ashes…The Senate’s Health Reform Efforts Live On

    Posted by Sophie Teague on Sep 20, 2017 12:11:00 PM

    by Sara Wilensky, JD, PhD
    Co-author of Essentials of Health Policy and Law, 3rd Edition

    With the passage of the American Health Care Act (AHCA) in the House on May 4, 2017, the health reform debate moved to the Senate.  The Senate completely scrapped the House bill and released its own version of health reform, the Better Care Reconciliation Act of 2017 (BCRA).  Despite important differences, AHCA and BCRA followed roughly the same contours. Both bills reduced taxes, eliminated government mandates, lowered federal government spending, lowered premiums for some people while increasing them for others, phased out Medicaid expansion under the Affordable Care Act (ACA), and ended Medicaid as an entitlement program. According to the nonpartisan Congressional Budget Office (CBO), the effect of the bills would be to increase the number of uninsured, reduce the deficit, lower costs for young and healthy consumers, and increase costs for older and poorer consumers.[1],[2] Unlike the House, however, the Senate could not muster enough Republican support to pass BCRA (or the Senate’s other two bills), stalling the health reform debate in Congress.  After a month of relative quiet, the Senate is trying again with its consideration of the Graham-Cassidy bill to repeal and replace the ACA.

     

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    Topics: Affordable Care Act (ACA), Public Health, sara wilensky, Essentials of Health Policy and Law

    The Future of the ACA: A Health Policy Expert’s Opinion

    Posted by Sophie Teague on Feb 22, 2017 8:39:23 AM

    by Sara Wilensky, JD, PhD
    Co-author of Essentials of Health Policy and Law, 3rd Edition

    With the Republicans in control of the Executive and Legislative branches of government, the outlook for the ACA is grim.  Republicans in Congress consistently tried to repeal and hinder the success of the ACA since its passage in 2010 with only Democratic support.  House Republicans passed multiple bills repealing the ACA despite Obama’s veto threat.  Therefore, isn’t it a forgone conclusion that the ACA is history?  Not necessarily.  As the Republicans are discovering, it is much easier to protest than to govern. 

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    Topics: Affordable Care Act (ACA), Public Health, sara wilensky, Essentials of Health Policy and Law

    New Edition of Best-Selling Health Policy Textbook Examines Health Care Reform & More

    Posted by admin on Mar 13, 2012 11:05:59 AM

    Below is the preface for the highly anticipated Second Edition of Essentials of Health Policy and Law, by Joel B. Teitelbaum, JD, LLM and Sara E. Wilensky, JD, PhD from School of Public Health and Health Services, George Washington University.

    Essentials of Health Policy and Law, Second Edition will be publishing April 1, 2012.  Visit us to request your complimentary review copy today.

    Essentials of Health Policy and Law, Second Edition

    Health policy and law are matters of national and local focus and concern.  Public opinion polls, media coverage, and policy debates at all levels of government and in private industry attest to the important place that health care and public health hold in the minds of the American public, policymakers, and lawmakers.  The constant attention showered on health policy-related topics also highlights their complexity, which stems from multiple factors.

    First, like most challenging public policy problems, pressing health policy questions simultaneously implicate politics, law, ethics, and social mores, all of which come with their own set of competing interests and advocates.  Second, health policy debates often involve deeply personal matters pertaining to one’s quality—or very definition—of life, philosophical questions about whether health care should be a market commodity or a social good, or profound questions about how to appropriately balance population welfare with closely guarded individual freedoms and liberties.  Third, it is often not abundantly clear how to begin tackling a particular health policy problem.  For example, is it one best handled by the medical care system, the public health system, or both?  Which level of government—federal or state—has the authority or ability to take action?  Should the problem be handled legislatively or through regulatory channels?  The final ingredient that makes health policy problems such a complex stew is the rapid developments often experienced in the areas of health care research, medical technology, and public health threats.  Generally speaking, this kind of rapid evolution is a confounding problem for the usually slow-moving American policy- and lawmaking machinery.

    Broadly defined, the goal of health policy is to promote and protect the health of individuals and of populations bound by common circumstances.  Because the legal system provides the formal structure through which public policy—including health policy—is debated, effectuated, and interpreted, law is an indispensable component of the study of health policy.  Indeed, law is inherent to the expression of public policy: major changes to policies often demand the creation, amendment, or rescission of laws.  As such, students studying policy must learn about the law, legal process, and legal concepts.  The range of topics fairly included under the banner of “health policy and law” is breathtaking.  For example, what effect is health care spending having on national and state economies?  How should finite financial resources be allocated between health care and public health?  How can we ensure that the trust funds established to account for Medicare’s income and disbursements remain solvent in the future as an enormous group of Baby Boomers becomes eligible for program benefits?  What kind of return (in terms of quality of individual care and the overall health of the population) should we expect from the staggering amount of money we collectively spend on health?  Should individuals have a legal entitlement to health insurance?  How best to attack extant health disparities based on race, ethnicity, and socioeconomic status?  What policies will best protect the privacy of personal health information in an increasingly electronic medical system?  Can advanced information technology systems improve the quality of individual and population health?  Should the right to have an abortion continue to be protected under the federal Constitution?  Should physician assistance in dying be promoted as a laudable social value?  Will mapping the human genome lead to discrimination based on underlying health status?  How prepared is the country for natural and man-made catastrophes, like pandemic influenza or bioterrorism attacks?  What effect will chronic diseases, such as diabetes and obesity-related conditions, have on health care delivery and financing?  How best to harness advancing scientific findings for the benefit of the public’s health?

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    Topics: public health education, Author, health policy, Public Health, Health care, George Washington University, Joel B. Teitelbaum, Public health management, Sara E. Wilensky, Essentials of Health Policy and Law, public opinion, School of Public Health and Health Services

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