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What does the Trump presidency mean to the cause of health care reform? How will his pledge to dismantle and then rebuild the Affordable Care Act (ACA, or Obamacare), and to leave Medicare alone and somehow watch it fix itself, impact doctors and patients and the entire fabric of our health care delivery system? Will he listen to fresh voices and consider sensible ideas to repair the health care mess, or will he rely on the same harried bureaucrats who are married to hospitals and drug companies and societies representing specialist physicians and follow their self-serving path of reform that demeans primary care and patient autonomy while preserving the status quo? We have discussed in th
This week the top story in RealClearHealth was an article I wrote about the Affordable Care Act (ACA), aka Obamacare. The ACA has become political fodder as participating insurance companies announced rate hikes that average 25%. Donald Trump proclaimed that all the fault for this rate hike lies in the ACA itself. But how true is his accusation? In fact, what is dragging down the ACA is no different than what is decimating Medicare, many health care plans, and our entire health care delivery system. I have discussed this in my book and blog, and touched on it in the RealClearHealth article, as have other health care experts like Nortin Hadler. But the pundits, press, and politicians se
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