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The Patient Protection and Affordable Care Act: A Dissenting Opinion

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  • Michael Tanner

Abstract

This paper asks whether the Patient Protection and Affordable Care Act achieves its goals of significantly expanding health insurance coverage, while reducing costs and increasing the quality of the care provided. An examination of the early results and current future projections suggests that while PPACA will increase the number of Americans with health insurance, it will fall significantly short of universal coverage. In addition, PPACA fails to control health care costs, and will likely result in higher costs for government, as well as many businesses, and individuals. The author concludes that PPACA is not the most effective vehicle for achieving US health care reform, and that a more market-oriented approach offers a better alternative. Copyright Springer Science+Business Media New York 2013

Suggested Citation

  • Michael Tanner, 2013. "The Patient Protection and Affordable Care Act: A Dissenting Opinion," Journal of Family and Economic Issues, Springer, vol. 34(1), pages 3-15, March.
  • Handle: RePEc:kap:jfamec:v:34:y:2013:i:1:p:3-15
    DOI: 10.1007/s10834-013-9350-7
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    References listed on IDEAS

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    1. Congressional Budget Office, 2012. "Lessons from Medicare's Demonstration Projects on Disease Management, Care Coordination, and Value-Based Payment," Reports 42860, Congressional Budget Office.
    2. Congressional Budget Office, 2012. "The Budget and Economic Outlook: Fiscal Years 2012 to 2022," Reports 42905, Congressional Budget Office.
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    9. Douglas W. Elmendorf, 2011. "Testimony on CBO's Analysis of the Major Health Care Legislation Enacted in March 2010," Reports 22077, Congressional Budget Office.
    10. Summers, Lawrence H, 1989. "Some Simple Economics of Mandated Benefits," American Economic Review, American Economic Association, vol. 79(2), pages 177-183, May.
    11. Congressional Budget Office, 2012. "An Update to the Budget and Economic Outlook: Fiscal Years 2012 to 2022," Reports 43539, Congressional Budget Office.
    12. Congressional Budget Office, 2012. "Lessons from Medicare's Demonstration Projects on Disease Management, Care Coordination, and Value-Based Payment," Reports 42860, Congressional Budget Office.
    13. Congressional Budget Office, 2012. "The Budget and Economic Outlook: Fiscal Years 2012 to 2022," Reports 42905, Congressional Budget Office.
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    17. Congressional Budget Office, 2012. "The Budget and Economic Outlook: Fiscal Years 2012 to 2022," Reports 42905, Congressional Budget Office.
    18. Congressional Budget Office, 2012. "An Update to the Budget and Economic Outlook: Fiscal Years 2012 to 2022," Reports 43539, Congressional Budget Office.
    19. Douglas W. Elmendorf, 2011. "Testimony on CBO's Analysis of the Major Health Care Legislation Enacted in March 2010," Reports 22077, Congressional Budget Office.
    20. Congressional Budget Office, 2012. "Updated Estimates for the Insurance Coverage Provisions of the Affordable Care Act," Reports 43076, Congressional Budget Office.
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    Cited by:

    1. Scott Adams & Benjamin Artz, 2015. "Health Insurance, Familial Responsibilities and Job Satisfaction," Journal of Family and Economic Issues, Springer, vol. 36(1), pages 143-153, March.
    2. Rajat Deb & Tapash Paul & Jaharlal Debbarma & Kiran Sankar Chakraborty, 2020. "Breaking the Stigma of Health Insurance," Management and Labour Studies, XLRI Jamshedpur, School of Business Management & Human Resources, vol. 45(1), pages 54-84, February.
    3. Anoshua Chaudhuri, 2021. "Health Research in JFEI Over a Decade: 2009–2019," Journal of Family and Economic Issues, Springer, vol. 42(1), pages 142-153, July.
    4. Suzanne Bartholomae & Mia B. Russell & Bonnie Braun & Teresa McCoy, 2016. "Building Health Insurance Literacy: Evidence from the Smart Choice Health Insurance™ Program," Journal of Family and Economic Issues, Springer, vol. 37(2), pages 140-155, June.

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