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Implementing Health Reform at the State Level: Access and Care for Vulnerable Populations

Published online by Cambridge University Press:  01 January 2021

John V. Jacobi ,
Sidney D. Watson  and
Robert Restuccia
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Extract

The Affordable Care Act1 (ACA) promises to improve access to coverage and care for two vulnerable groups: low-income persons who are excluded by a lack of resources and chronically ill and disabled people who are excluded by the dysfunction of our existing insurance and care delivery systems. ACA’s sprawling provisions raise a wealth of implementation challenges that are exacerbated by the compromises required to move reform through Congress. In particular, the compromise between regulatory/public program advocates and advocates for private, market-driven programs requires thoughtful regulatory coordination between public and private health systems.

Type
JLME Supplement
Information
Journal of Law, Medicine & Ethics , Volume 39 , Issue S1 , Spring 2011 , pp. 69 - 72
Copyright
Copyright © American Society of Law, Medicine and Ethics 2011

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