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Health Reform in a New Presidency: The Challenge of Finding Common Ground

Published online by Cambridge University Press:  01 January 2021

Gail R. Wilensky
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Abstract

Finding “common ground” to fix some of the policy problems with the ACA was never expected to be easy. How challenging depends on the election outcome. With split government or even same party control of the Congress and White House but without a supermajority in the Senate, fixing identifiable problems requires remedies that might garner bipartisan cooperation. Some potential strategies that might meet this requirement are described.

Type
Symposium Articles
Information
Journal of Law, Medicine & Ethics , Volume 44 , Issue 4: Health Reform: Assessing the Affordable Care Act and Moving Forward , Winter 2016 , pp. 555 - 558
Copyright
Copyright © American Society of Law, Medicine and Ethics 2016

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Footnotes

Author's Note

This article was finished five months before the election and as indicated in the opening paragraph, predicting the 2016 election was even more daunting than usual. I predicted that split government was the most likely outcome and like most others, my prediction was wrong. However the need for strategies that might be agreeable to a coalition of Republicans and Democrats is still likely to be necessary. Not to defund most of the ACA. Republicans can do that on their own through a budget reconciliation vote as long as the Republicans in the Senate can hold their slim majority together. But most politicians do not want to see 20 million more uninsured when they face re-election and replacing the ACA is likely to require cooperation from the Democrats. Perhaps some of the policy changes outlined in the article will prove helpful in this endeavor.

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