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A Public Health Perspective on Health Care Reform

Micah L. Berman

Ohio State University

August 26, 2011

21 Health Matrix: Journal of Law-Medicine 353 (2011)

This article (to be published in Health Matrix) argues that the Affordable Care Act has constructed the concepts of “prevention” and “public health” in a limited and narrow way. The law reflects an “individualist/biomedical paradigm” of preventive health that favors policy solutions that either assist individual patients to make better health-related choices or rely on biomedical screening and testing. This policy-making paradigm largely ignores the research of public health scholars indicating that the most effective interventions operate at the population level and focus on the environmental risk factors that contribute to disease. The article examines various provisions of the Affordable Care Act and demonstrates how they attempt to alter individual decision-making while leaving the broader social and environmental context unchanged.

Number of Pages in PDF File: 32

Keywords: Health Care Reform, Public Health, Public Health Law, Workplace Wellness

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Date posted: August 28, 2011 ; Last revised: March 6, 2014

Suggested Citation

Berman, Micah L., A Public Health Perspective on Health Care Reform (August 26, 2011). 21 Health Matrix: Journal of Law-Medicine 353 (2011). Available at SSRN: http://ssrn.com/abstract=1917706

Contact Information

Micah Berman (Contact Author)
Ohio State University ( email )
1841 Neil Avenue
Cunz Hall 342
Columbus, OH 43210
United States
6146881438 (Phone)

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