Systemowe reformy zdrowotne w Stanach Zjednoczonych. Obamacare versus Trumpcare

Katarzyna Badora-Musiał; Iwona Kowalska-Bobko; Michał  Zabdyr-Jamróz

Titles

Systemowe reformy zdrowotne w Stanach Zjednoczonych. Obamacare versus Trumpcare

Abstract

The purpose of the article is to present the complexity of the US health insurance system and the changes it brings in Obamacare against the background of reform proposals pushed forward and run by the new US presidential administration (Trumpcare). An attempt will be made to compare the two reform proposals for the health care – Obamacare versus Trumpcare in the light of the assessment of the changes implemented by Barack Obama since 2013 as well as the political implications of the new proposals put forward by current President Trump.

The US health care system stakeholders environment is very divided in Obamacare’s and President Trump’s new proposals assessment. The new change is backed by insurance corporations. Meanwhile, the largest American medical association, the American Medical Association, has sent to the leaders of both parties in the Senate a statement stating that it supported Obamacare because it was a significant improvement over its previous status quo.

At this stage, presenting the whole formula of a new change is difficult due to unfinished legislative process.

The purpose of the article is to present the complexity of the US health insurance system and the changes it brings in Obamacare against the background of reform proposals pushed forward and run by the new US presidential administration (Trumpcare). An attempt will be made to compare the two reform proposals for the health care – Obamacare versus Trumpcare in the light of the assessment of the changes implemented by Barack Obama since 2013 as well as the political implications of the new proposals put forward by current President Trump.

The US health care system stakeholders environment is very divided in Obamacare’s and President Trump’s new proposals assessment. The new change is backed by insurance corporations. Meanwhile, the largest American medical association, the American Medical Association, has sent to the leaders of both parties in the Senate a statement stating that it supported Obamacare because it was a significant improvement over its previous status quo.

At this stage, presenting the whole formula of a new change is difficult due to unfinished legislative process.

Keywords

Obamacare, Trumpcare, reforma systemu zdrowotnego USA, ochrona zdrowia w USA

Obamacare, Trumpcare, health system reform in USA, health care in USA

References

1. Tandom A., Murray C.J., Lauer J.A., Evans D.B., Measuring Overall Health System Performance for 191 Countries, GPE Discussion Paper Series: No. 30, EIP/GPE/EQC World Health Organization, 2000, http://www.who.int/healthinfo/paper30.pdf (dostęp: 10.07.2017).

2. Włodarczyk C., Reformy zdrowotne – uniwersalny kłopot, Wydawnictwo Uniwersytetu Jagiellońskiego, Kraków 2003.

3. Amadeo K., The Ultimate Obamacare Handbook (2015–2016 edition): A Definitive Guide to the Benefits, Rights, Responsibilities, and Potential Pitfalls of the Affordable Care Act, Skyhorse Publishing 2016.

4. OECD, Health at a Glance 2015: OECD Indicators, OECD Publishing, Paris 2015, http://dx.doi.org/10.1787/health_glance-2015-en (dostęp: 10.07.2017).

5. Levy J., In U.S., Uninsured Rate Lowest Since 2008, „Gallup WellBeing” 2014, http://www.gallup.com/poll/168248/uninsured-rate-lowest-2008.aspx (dostęp: 10.07.2017).

6. Nolte E., McKee M., Measuring the Health of Nations: Updating an earlier analysis, „Health Affairs” 2008; 27, 1: 58–71.

7. OECD, Health at a Glance 2013: OECD Indicators, OECD Publishing, 2013, http://dx.doi.org/10.1787/health_glance-2013-en (dostęp: 10.07.2017).

8. Zabdyr-Jamróz M., Badora K., Reformy zdrowotne w USA z 2010 r. po orzeczeniu Sądu Najwyższego. Europeizacja Ameryki czy utrzymanie jej odrębności?, w: Namysły nad problemami polityki zdrowotnej globalnej – europejskiej – krajowej: księga jubileuszowa prof. dra hab. Cezarego W. Włodarczyka, red. nauk. I. Kowalska, A. Mokrzycka, Difin, Warszawa 2013: 241–255.

9. Makowska M., Czerw A., Reforma systemu ubezpieczeń zdrowotnych w Stanach Zjednoczonych. Zmiany wprowadzane przez Obamacare, „Hygeia Public Health” 2014; 49 (4): 733–741.

10. KFF, 2013 employer health benefits survey, The Henry J. Kaiser Family Foundation, October 2013, http://kff.org/private-insurance/report/2013-employer-health-benefits (dostęp: 10.07.2017).

11. KFF, Employer Health Benefits. 2013 Summary of Findings, The Henry J. Kaiser Family Foundation, 2013, https://kaiserfamilyfoundation.files.wordpress.com/2013/08/8466-employer-health-benefits-2013_summary-of-findings1.pdf (dostęp: 10.07.2017).

12. eHalth, Cost and Benefits of Individual and Family Health Insurance, 2013, http://news.ehealthinsurance.com/_ir/68/201311/eHealth%202013%20Cost%20and%20Benefits%20Report.pdf (dostęp: 10.07.2017).

13. Jasiński Ł., Makowska M., Wpływ reformy zdrowotnej w Stanach Zjednoczonych (ObamaCare) na biznes ubezpieczeniowy, „Wroclaw Economic Review” 2016; 22 (2): 9–25.

14. IRS, Internal Revenue Bulletin: 2017-21, 2017, https://www.irs.gov/irb/2017-21_IRB/ar10.html#d0e870 (dostęp: 10.07.2017).

15. KFF, Obamacare and You: If You Are a Woman..., The Henry J. Kaiser Family Foundation, October 2013, http://www.kff.org/health-reform/fact-sheet/obamacare-and-you-if-you-are-a-woman/ (dostęp: 10.07.2017).

16. Obamacare Facts, ObamaCare Employer Mandate, https://obamacarefacts.com/obamacare-employer-mandate/ (dostęp: 10.07.2017).

17. Healthcare, Medicaid expansion & what it means for you, https://www.healthcare.gov/medicaid-chip/medicaid-expansion-and-you/ (dostęp: 10.07.2017).

18. KFF, The YouToons Get Ready for Obamacare: Health Insurance Changes Coming Your Way Under the Affordable Care Act, The Henry J. Kaiser Family Foundation, July 2013, http://www.kff.org/health-reform/video/youtoons-obamacare-video/ (dostęp: 10.07.2017).

19. Niżnik J., Reforma modelu ochrony zdrowia w Stanach Zjednoczonych: nowe zasady finansowania a dostępność opieki zdrowotnej, „Annales Universitatis Mariae Curie-Skłodowska. Sectio H. Oeconomia” 2010; 44 (2): 981–993.

20. Makowska M., Jasiński Ł., Wpływ reformy zdrowotnej w Stanach Zjednoczonych (ObamaCare) na biznes farmaceutyczny, „Wroclaw Economic Review” 2016; 22 (4): 35–46.

21. HHS, Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace, Department of Health and Human Services, October 2016, https://aspe.hhs.gov/system/files/pdf/212721/2017MarketplaceLandscapeBrief.pdf (dostęp: 10.07.2017).

22. PAF, Health Reform and You. A User’s Guide to the Health Insurance Marketplace, Patient Advocate Foundation, http://www.patientadvocate.org/requests/publications/Health-Reform-and-You.pdf (dostęp: 10.07.2017).

23. Novo Nordisk, Understanding health insurance. Your reference guide, September 2016, https://www.cornerstones4care.com/content/dam/nni/cornerstones4care/pdf/others/Health_Insurance_Booklet.pdf (dostęp: 10.07.2017).

24. KFF, Obamacare and You: If You Are Uninsured..., The Henry J. Kaiser Family Foundation, October 2013, http://www.kff.org/health-reform/fact-sheet/obamacare-you-if-you-are-uninsured/ (dostęp: 10.07.2017).

25. Jackson H.C., 6 promises Trump has made about health care, „Politico”, 13.03.2017, http://www.politico.com/story/2017/03/trump-obamacare-promises-236021 (dostęp: 10.07.2017).

26. Sarlin B., Trump’s Backing a Healthcare Plan That Breaks His Promises, CNBC, 13.03.2017, http://www.cnbc.com/2017/03/13/trumps-backing-a-healthcare-plan-that-breaks-his-promises.html (dostęp: 10.07.2017).

27. AHCA, Our time is now, The American Health Care Act, https://housegop.leadpages.co/healthcare/ (dostęp: 10.07.2017).

28. Trumpcare, Trump’s Mysterious “Repeal and Replace” Plan, Health Network Group 2017, https://trumpcare.com/trumps-mysterious-repeal-and-replace-plan (dostęp: 10.07.2017).

29. Kamisar B., Trump: ‘ObamaCare is dead’, „The Hill”, 17.03.2017, http://thehill.com/policy/healthcare/324453-trump-obamacare-is-dead (dostęp: 10.07.2017).

30. PRC, Political Polarization in the American Public, Pew Research Center for the People and the Press, June 2014, http://www.people-press.org/2014/06/12/political-polarization-in-the-american-public/ (dostęp: 10.07.2017).

31. Diffen, Obamacare vs. Romneycare, http://www.diffen.com/difference/Obamacare_vs_Romneycare (dostęp: 10.07.2017).

32. U.S. Senate Democrats (2017), Will there be a hearing on the Healthcare proposal?, Facebook, 09.06.2017, https://www.facebook.com/USSenateDemocrats/videos/1356083014460889/?autoplay_reason=gatekeeper&video_container_type=0&video_creator_product_type=2&app_id=2392950
137&live_video_guests=0 (dostęp: 10.07.2017).

33. Menkel-Meadow C., Scaling up deliberative democracy as dispute resolution in healthcare reform: A work in progress, „Law and Contemporary Problems” 2011; 74 (3): 1–30.

34. Bryan B., The Republican healthcare bill is the least popular major bill in decades, „Business Insider”, 21.06.2017, http://www.businessinsider.com/poll-ahca-obamacare-approval-ratings-2017-6?IR=T (dostęp: 10.07.2017).

35. Yglesias M., The massive wave of town hall protests ruining the GOP’s week, explained, „Vox”, 23.02.2017, https://www.vox.com/policy-and-politics/2017/2/23/14696472/town-hall-protests (dostęp: 10.07.2017).

36. Stein J., Republicans don’t hold town halls anymore, „Vox”, 27.06.2017, https://www.vox.com/policy-and-politics/2017/6/27/15880904/republicans-town-hall-health-care (dostęp: 10.07.2017).

37. Trumpcare, Comparison of Trumpcare Plans, Health Network Group, 2017, https://trumpcare.com/comparison-trumpcare-plans (dostęp: 10.07.2017).

38. Scott D., The Senate GOP’s health care stalemate, in one chart, „Vox”, 03.07.2017, https://www.vox.com/policy-and-politics/2017/7/3/15905512/senate-health-care-bill-mitch-mcconnell-one-chart (dostęp: 10.07.2017).

39. CBO, American Health Care Act. Budget Reconciliation Recommendations of the House Committees on Ways and Means and Energy and Commerce, The Congressional Budget Office, 09.03.2017, https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/americanhealthcareact.pdf (dostęp: 10.07.2017).

40. Anderson T., Senate’s Obamacare Replacement Bill to Boost Health Savings Accounts, CNBC, 22.06.2017, http://www.cnbc.com/2017/06/22/senate-obamacare-replacement-to-boost-health-savings-accounts.html (dostęp: 10.07.2017).

41. Amadeo K., Donald Trump on Health Care. Trumpcare vs Obamacare: Which Is Better for You?, „US Economy”, 22.06.2017, https://www.thebalance.com/how-could-trump-change-health-care-in-america-4111422 (dostęp: 10.07.2017).

42. Pear R., What’s in the AHCA: The Major Provisions of the Republican Health Bill, „The New York Times”, 04.05.2017, https://www.nytimes.com/2017/05/04/us/politics/major-provisions-republican-health-care-bill.html (dostęp: 10.07.2017).

43. Crockett E., The GOP Obamacare Replacement Plan Defunds Planned Parenthood and Restricts Abortion Coverage, „Vox”, 07.03.2017, https://www.vox.com/identities/2017/3/6/14836998/obamacare-repeal-replace-bill-defund-planned-parenthood (dostęp: 10.07.2017).

44. Winfield Cunningham P., Here’s What’s in the Senate Health Care Bill, „The Washington Post”, 22.06.2017, https://www.washingtonpost.com/news/powerpost/paloma/the-health-202/2017/06/22/the-health-202-here-s-what-s-in-the-senate-health-care-bill/594aa367e9b69b2fb981dde9/?utm_term=.13a89cd6b4fb (dostęp: 10.07.2017).

45. Armour S., Hackman M., GOP Health Bill Jeopardizes Out-of-Pocket Caps in Employer Plans, „The Wall Street Journal”, 04.05.2017, https://www.wsj.com/articles/little-noted-provision-of-gop-health-bill-could-alter-employer-plans-1493890203 (dostęp: 10.07.2017).

46. Goodnough A., Pear R., Kaplan T., Health Groups Denounce G.O.P. Bill as Its Backers Scramble, „New York Times”, 09.03.2017, https://www.nytimes.com/2017/03/08/us/politics/affordable-care-act-obama-care-health.html (dostęp: 10.07.2017).

47. Obamacare vs. Trumpcare (BCRA), 16.09.2017, https://trumpcare.com/trumpcare-vs-obamacare (dostęp: 10.07.
2017).

48. Business Insider Polska, Likwidacja Obamacare pozbawi miliony Amerykanów opieki lekarskiej. Stracić mogą też inwestorzy, „Business Insider Polska”, 05.01.2017, http://businessinsider.com.pl/wiadomosci/reforma-opieki-zdrowotnej-w-usa-likwidacja-obamacare-konsekwencje/gvmtqbb (dostęp: 16.09.2017).

49. Rice T., Rosenau P., Unruh L.Y., Barnes A.J., Saltman R.B., van Ginneken E., United States of America: Health system review, „Health Systems in Transition” 2013; 15 (3): 1–431.

50. KFF, Medicare a Primer 2010, The Henry J. Kaiser Family Foundation, April 2010, http://www.kff.org/medicare/upload/7615-03.pdf (dostęp: 10.07.2017).

51. Baumgartner E., Emerytura polska i amerykańska ich łączenie i skutki Umowy o zabezpieczeniu społecznym, Polpress Services, Nowy Jork, „Ameryka dla każdego” 2015, https://poradniksukces.com/wp/wp-content/uploads/2016/04/Emerytura_polska_i_am_ebook_2015.pdf (dostęp: 10.07.2017).

52. CMS, Medicare Basics: A Guide for Families and Friends of People with Medicare, The Centers for Medicare and Medicaid Services Product No. 11034, 2014, https://www.medicare.gov/Pubs/pdf/11034.pdf (dostęp: 10.07.2017).

53. CMS, Czym jest Medicare?, The Centers for Medicare and Medicaid Services Product No. 11306 – Polish, 2015, https://www.medicare.gov/pubs/pdf/other-languages-not-sp/Polish%2011306-Medicare-Medicaid.pdf (dostęp: 10.07.2017).

54. CMS, Medicare and You 2017, The Centers for Medicare and Medicaid Services Product No. 10050, 2016, https://www.medicare.gov/pubs/pdf/10050-Medicare-and-You.pdf (dostęp: 10.07.2017).

55. Snyder L., Rudowitz R., Ellis E., Roberts D., Medicaid Enrollment: June 2013 Data Snapshot, Kaiser Family Foundation, Washington, DC 2014, http://kff.org/medicaid/issue-brief/medicaidenrollment-june-2013-data-snapshot/ (dostęp: 10.07.2017).

56. eHalth, The Different Types of Health Insurance Plans, 2016, https://resources.ehealthinsurance.com/individual-and-family/different-types-health-insurance-plans (dostęp: 10.07.2017).

57. CFF, The Insurance Basics, Cystic Fibrosis Foundation, https://www.cff.org/Assistance-Services/Insurance/Your-Insurance-Plan/The-Insurance-Basics/ (dostęp: 10.07.2017).

58. ACS, Types of Health Insurance Plans, American Cancer Society, 2016, https://www.cancer.org/treatment/finding-and-paying-for-treatment/understanding-health-insurance/health-insurance-options/types-of-health-insurance-plans.html (dostęp: 10.07.2017).

59. Blue Cross and Blue Shield of Illinois, Understanding Health Insurance. Your Guide to the Affordable Care Act, https://www.bcbsil.com/pdf/standards/understanding_health_insurance_member_brochure.pdf (dostęp: 10.07.2017).

60. CAHP, 7 Ways the Affordable Care Act will Impact Individual Health Insurance, California Association of Health Plans, http://www.calhealthplans.org/pdfs/ACAImpactInfographicMultiplePages042913.pdf (dostęp: 10.07.2017).

Information

Information: Public Health and Governance, 2017, Volume 15, Issue 3, pp. 219 - 231

DOI: https://doi.org/10.4467/20842627OZ.17.021.7801

Article type: Original article

Titles:

Polish:

Systemowe reformy zdrowotne w Stanach Zjednoczonych. Obamacare versus Trumpcare

English:

Systemic reform of health care in the United States. Obamacare versus Trumpcare

Authors

Katarzyna Badora-Musiał

https://orcid.org/0000-0002-4920-6742

Institute of Public Health, Faculty of Health Sciences, Jagiellonian University, Medical College, Kraków

Iwona Kowalska-Bobko

https://orcid.org/0000-0003-3728-2323

Institute of Public Health, Jagiellonian University Medical College, Kraków, Poland

Michał Zabdyr-Jamróz

https://orcid.org/0000-0002-3203-7954

Institute of Public Health Faculty of Health Sciences Jagiellonian University Medical College, Kraków

Published at: 20.12.2017

Article status: Open

Licence: CC BY-NC-ND

Percentage share of authors:

Katarzyna Badora-Musiał (Author) - 33%

Iwona Kowalska-Bobko (Author) - 33%

Michał Zabdyr-Jamróz (Author) - 34%

Article corrections:

-

Publication languages:

Polish

View count: 2235

Number of downloads: 9272

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