The PPACA Versus Defined Contribution Approaches to Health Care Financing: A Clash of Visions About the Aged
Marshall B. Kapp
Florida State University - College of Law and College of Medicine
April 27, 2011
FSU College of Law, Public Law Research Paper No. 499
American culture and public policy have long held a split vision about the aged: vulnerability, dependency, and special need for law and policy to act as a protective shield versus the aged as independent, self-reliant, and capable of choice, with law acting as a source of individual empowerment. In terms of health care financing, the 2010 Patient Protection and Affordable Care Act (PPACA) clearly leans toward protecting older persons from risk, rather than empowering them to act autonomously. This article compares the PPACA vision of elder vulnerability to alternative policy proposals for financing health care for the aged that are built on a vision of elder abilities and capacity for self-determination. The author advocates for the latter social vision and associated health care financing policy alternatives, arguing that a rebuttable presumption of elder capacity that recognizes and provides for individual variations better serves important societal values than does the PPACA’s categorical conclusion that the aged as a population are unable to fend for themselves.
Number of Pages in PDF File: 14
Keywords: Health care financing, Health reform, Medicare, Public policy, Ethicsworking papers series
Date posted: April 28, 2011
© 2013 Social Science Electronic Publishing, Inc. All Rights Reserved.
This page was processed by apollo1 in 0.860 seconds