Document Type
Article
Publication Date
12-2020
Journal Title
Journal of Law, Medicine & Ethics
ISSN
1073-1105
DOI
10.1177/1073110520958866
Abstract
It is no exaggeration to say that American health policy is frequently subordinated to budgetary policies and procedures. The Affordable Care Act (ACA) was undeniably ambitious, reaching health care services and underlying health as well as health insurance. Yet fiscal politics determined the ACA’s design and guided its implementation, as well as sometimes assisting and sometimes constraining efforts to repeal or replace it. In particular, the ACA’s vulnerability to litigation has been the price its drafters paid in exchange for fiscal-political acceptability. Future health care reformers should consider whether the nation is well served by perpetuating such an artificial relationship between financial commitments and health returns.
First Page
434
Last Page
442
Num Pages
9
Volume Number
48
Issue Number
3
Publisher
Cambridge University Press
Recommended Citation
William M. Sage & Timothy M. Westmoreland,
Following the Money: The ACA’s Fiscal-Political Economy and Lessons for Future Health Care Reform,
48
J.L. Med. & Ethics
434
(2020).
Available at:
https://scholarship.law.tamu.edu/facscholar/1590
File Type
added PDF since copyright held by authors