Health system reform and the generalist physician

Health System Reform in the United States

In 2010, the United States adopted its first-ever comprehensive set of health system reforms in the Affordable Care Act (ACA). Implementation of the law, though politically contentious and controversial, has now reached a stage where reversal of most elements of the law is no longer feasible. The controversial portions of the law that expand affordable health insurance coverage to most U.S. cit...

Physician autonomy and health care reform.

MANY PHYSICIANS ARE DISTRESSED AS THEY LOOK TOward the future. A recent survey of physicians reported that 65% thought the quality of health care will deteriorate in the future. Part of this malaise isdrivenbyconcerns that reformscontained in theAffordableCareAct(ACA)willfurthererodephysicians’autonomy. On the contrary, the ACA has provisions that will mitigate the long-standing concern that pa...

Health care reform--involving our physician leaders.

Wisconsin physician opinions on health care reform.

OBJECTIVE To determine Wisconsin physicians' opinions regarding health care reform. METHODS The University of Wisconsin Survey Research Center performed a 46-question mail survey of 2500 randomly selected physicians from the Wisconsin Medical Society master list of practicing physicians. Respondents rated opinions on a 5-point Likert scale. Demographics of respondents (sex practice type, geog...

The primary care physician and health care reform.

WHATEVER FORM IT TAKES, HEALTH CARE REform will increase the number of Americans covered by health insurance. But there is concern that the legislation will not bend the cost curve—that is, will not reduce the growth of health care costs so that it more closely resembles the growth of the US gross domestic product (GDP). Currently, health care consumes about 16% of the GDP; advocates of bending...