by Thomas A. Firey
Maryland Public Policy Institute
January 29, 2014
The Patient Protection and Affordable Care Act (PPACA) was written and enacted to expand health care coverage, improve Americans’ health, and lower medical costs. However, the legislation is poorly constructed to accomplish these goals. It does nothing to address iatrogenesis—injury or illness caused by medical providers—or improve Americans’ health, and its attempts to reduce health care spending—including Medicare spending—appear likely to backfire. Further, the one problem PPACA does try to address—the high number of uninsured Americans—may ultimately worsen under the legislation as people and employers elect to drop coverage and insurers’ risk pools become overwhelmed with high-cost insureds. Despite its professed noble intentions, PPACA appears destined to be a colossal, costly, complex failure. America still needs health care reform.



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