Health Care Analysis 21 (4):355-371 (2013)
|Abstract||According to HealthCare.gov, by improving access to quality health for all Americans, the Affordable Care Act (ACA) will reduce disparities in health insurance coverage. One way this will happen under the provisions of the ACA is by creating a new health insurance marketplace (a health insurance exchange) by 2014 in which “all people will have a choice for quality, affordable health insurance even if a job loss, job switch, move or illness occurs”. This does not mean that everyone will have whatever insurance coverage he or she wants. The provisions of the ACA require that each of the four benefit categories of plans (known as bronze, silver, gold and platinum) provides no less than the benefits available in an “essential health benefits package”. However, without a clear understanding of what criteria must be satisfied for health care to be essential, the ACA’s requirement is much too vague and open to multiple, potentially conflicting interpretations. Indeed, without such understanding, in the rush to provide health insurance coverage to as many people as is economically feasible, we may replace one kind of disparity (lack of health insurance) with another kind of disparity (lack of adequate health insurance). Thus, this paper explores the concept of “essential benefits”, arguing that the “essential health benefits package” in the ACA should be one that optimally satisfies the basic needs of the people covered|
|Keywords||Basic needs Capabilities Discourse ethics Essential health benefits Habermas Health insurance Medical necessity Opportunities|
|Categories||categorize this paper)|
|Through your library||Configure|
Similar books and articles
Lance Gable (2011). The Patient Protection and Affordable Care Act, Public Health, and the Elusive Target of Human Rights. Journal of Law, Medicine and Ethics 39 (3):340-354.
Peter Budetti (1992). Universal Health Care Coverage – Pitfalls and Promise of an Employment-Based Approach. Journal of Medicine and Philosophy 17 (1):21-32.
Robin Hanson, The Determinants of the Quantity of Health Insurance: Evidence From Self-Insured and Not Self-Insured Employer-Based Health Plans.
Christiaan J. Lako, Pauline Rosenau & Chris Daw (2011). Switching Health Insurance Plans: Results From a Health Survey. [REVIEW] Health Care Analysis 19 (4):312-328.
Engelbert Theurl (1999). Some Aspects of the Reform of the Health Care Systems in Austria, Germany and Switzerland. Health Care Analysis 7 (4):331-354.
Lorian E. Hardcastle, Katherine L. Record, Peter D. Jacobson & Lawrence O. Gostin (2011). Improving the Population's Health: The Affordable Care Act and the Importance of Integration. Journal of Law, Medicine and Ethics 39 (3):317-327.
John B. Davis (2000). Conceptualising the Lack of Health Insurance Coverage. Health Care Analysis 8 (1):55-64.
Y. Cao, X. Chen & R. Fan (2011). Toward a Confucian Family-Oriented Health Care System for the Future of China. Journal of Medicine and Philosophy 36 (5):452-465.
Robert M. Veatch (1997). Single Payers and Multiple Lists: Must Everyone Get the Same Coverage in a Universal Health Plan? Kennedy Institute of Ethics Journal 7 (2):153-169.
Mark H. Waymack (1990). The Ethics of Selectively Marketing the Health Maintenance Organization. Theoretical Medicine and Bioethics 11 (4).
Lawrence O. Gostin (2010). The National Individual Health Insurance Mandate. Hastings Center Report 40 (5):8-9.
John Aloysius Cogan (2011). The Affordable Care Act's Preventive Services Mandate: Breaking Down the Barriers to Nationwide Access to Preventive Services. Journal of Law, Medicine and Ethics 39 (3):355-365.
Jennifer S. Bard (2011). When Public Health and Genetic Privacy Collide: Positive and Normative Theories Explaining How ACA's Expansion of Corporate Wellness Programs Conflicts with GINA's Privacy Rules. Journal of Law, Medicine and Ethics 39 (3):469-487.
Mark A. Hall (2011). The Sausage-Making of Insurance Reform. Hastings Center Report 41 (1):9-10.
Added to index2011-11-09
Total downloads8 ( #131,640 of 722,749 )
Recent downloads (6 months)2 ( #36,437 of 722,749 )
How can I increase my downloads?