05: Affordable Care Act at the Intersections

Overview

Even though the Affordable Care Act's stability may be in question, it's important to interrogate the effectiveness of this policy for marginalized groups.  Further, how does the public health workforce help or hinder this effectiveness?  Readings may alter as the ACA's status is changing rapidly.

A Mid-term Student Feedback Session will occur today. 

Lecture:

• 05: Affordable Care Act at the Intersections (includes Group Discussion Slides) Links to an external site.

Required Readings

• Lillie-Blanton, M. and C. Hoffman. 2005. “The role of health insurance coverage in reducing racial/ethnic disparities in health care Download The role of health insurance coverage in reducing racial/ethnic disparities in health care
  .” Health Affairs, 24(2): 398-408.
• Smith, David B. “Civil Rights and Medicare: Historical Convergence and Continuing Legacy Download Civil Rights and Medicare: Historical Convergence and Continuing Legacy
  .” In Medicare and Medicaid at 50: America’s Entitlement Programs in the Age of Affordable Care. Eds. Alan B. Cohen, David C. Colby, Keith A. Wailoo and Julian E. Zelizer. Oxford University Press, 2015: 21-38
• Jepeal, Nicole, et al. "Strengthening the Role the Workforce Plays in Health Policy Engagement in Underserved Communities: Lessons from a Multi-site Federally Qualified Health Center Download Strengthening the Role the Workforce Plays in Health Policy Engagement in Underserved Communities: Lessons from a Multi-site Federally Qualified Health Center
  ." Journal of health care for the poor and underserved 25.1 (2014): 29-36.
• Ortega, Alexander N., Hector P. Rodriguez, and Arturo Vargas Bustamante. "Policy dilemmas in Latino health care and implementation of the Affordable Care Act Download Policy dilemmas in Latino health care and implementation of the Affordable Care Act

  ." Annual review of public Health 36 (2015): 1-22.

Current Political Landscape

• The Trump Administration's First Blow to Obamacare Links to an external site.
• What will Donald Trump's presidency mean for health? A scorecard Download What will Donald Trump's presidency mean for health? A scorecard
• Hospitals feeling the early effects of Trump immigration ban Links to an external site.

Optional Readings & Resources

• Obama B. United States Health Care Reform: Progress to Date and Next Steps Download United States Health Care Reform: Progress to Date and Next Steps
  . JAMA. Published online July 11, 2016. Plus Editorials
• Medicare and Medicaid at 50: America's Entitlement Programs in the Age of Affordable Care Links to an external site.

Assignments

• Abstracts due

Discussion

Ack!  What's going on with the ACA this week?  What use does a historical viewpoint on the policy and it's implications have on the future of healthcare for the US?  What sources do you want to share here?

Go to Discussion Thread for Week 05 to further discuss.