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Directions Carefully read and respond to each question. Please complete your responses using complete sentences. Your...

Directions

Carefully read and respond to each question. Please complete your responses using complete sentences. Your responses will be evaluated on the basis of content accuracy, clarity, correct usage of the English language, and demonstrated evidence of critical analysis.  

4.    Why do you think the AMA changed its position regarding the Patient Protection and Affordable Care Act after almost a century of opposing government interference in healthcare? Did this change of position help the passage of the bill?

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Act has several major aims. The first—and central—aim is to achieve near-universal coverage and to do so through shared responsibility among government, individuals, and employers. A second aim is to improve the fairness, quality, and affordability of health insurance coverage. A third aim is to improve health-care value, quality, and efficiency while reducing wasteful spending and making the health-care system more accountable to a diverse patient population. A fourth aim is to strengthen primary health-care access while bringing about longer-term changes in the availability of primary and preventive health care. A fifth and final aim is to make strategic investments in the public's health, through both an expansion of clinical preventive care and community investments.

Health insurance Exchanges will be expected to implement broad federal standards related to access and quality for qualified health plans. Medicare and Medicaid demonstrations aimed at improving health and health care for individuals with complex and chronic conditions will be implemented. And throughout the system, large amounts of data on enrolment, health-care utilization, and performance will become available over time. What are the opportunities that flow from these changes? How might public health be involved in (1) outreach and enrolment, (2) the creation of more integrated systems of care for people with chronic conditions who depend on health-care teams drawn from both health-care and public health professionals, and (3) working with Exchanges to assure that the health plans that do business in Exchanges are positioned to offer quality products whose performance can be measured?

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