The Affordable Care Act and the Chronic Challenge of Cost Control

11 U. St. Thomas J.L. Pub. Pol'y 98 (Symposium Speech, 2017)

University of Tennessee Legal Studies Research Paper No. 345

15 Pages Posted: 14 Mar 2018 Last revised: 9 Apr 2018

See all articles by Isaac Buck

Isaac Buck

University of Tennessee College of Law

Date Written: March 1, 2018

Abstract

The embattled Patient Protection and Affordable Care Act of 2010 (ACA) has endured years of existential threats. From the Supreme Court’s piercing NFIB v. Sebelius decision in 2012, to blocked funding from an unfriendly Congress, to the administrative changes from the Trump administration, and finally through a summer of repeal and replace proposals, the ACA has been politically battered and fundamentally reshaped. These changes have hindered its cost control efforts, and, consequently, policy-based inroads initially mandated by the ACA—most notably, attempts at both shrinking cost-shifting and growing the leverage of payers in the system—have been blunted and neutralized. Most notably, the NFIB case—the subject of this symposium—wounded the ACA’s efforts that were intended to truly bend the cost curve in American health care. This, from a health policy perspective, is the enduring legacy of that case. As a result, because the ACA is unable to adequately address America’s health care cost control problem, it remains politically vulnerable. And without a commitment to policy-based solutions that address the cost of American health care, any reform solutions—whether they be contained within the ACA or some future program—will continue to be hamstrung, threatening both the political leaders who support reform, and the quality and sustainability of American health care well into the future.

Keywords: health law, Affordable Care Act, health finance

Suggested Citation

Buck, Isaac, The Affordable Care Act and the Chronic Challenge of Cost Control (March 1, 2018). 11 U. St. Thomas J.L. Pub. Pol'y 98 (Symposium Speech, 2017); University of Tennessee Legal Studies Research Paper No. 345. Available at SSRN: https://ssrn.com/abstract=3138131

Isaac Buck (Contact Author)

University of Tennessee College of Law ( email )

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United States
865-974-8637 (Phone)

HOME PAGE: http://law.utk.edu/people/buck-zack/

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