Public Health and Health Care: Integration, Disintegration, or Eclipse

The Journal of Law, Medicine & Ethics, Vol. 46, No. 4, pp. 940 - 951 (2019).

Northeastern University School of Law Research Paper No. 341-2019

Posted: 6 Feb 2019 Last revised: 25 Apr 2019

See all articles by Peter D. Jacobson

Peter D. Jacobson

University of Michigan School of Public Health

Wendy E. Parmet

Northeastern University - School of Law

Date Written: January 10, 2019

Abstract

Many observers have argued that the U.S. health care system could be more efficient and achieve better outcomes if providers focused more on improving the community's health, not just the welfare of individual patients. The passage of the Affordable Care Act (ACA) in 2010 seemed to herald the promise of such reforms, and greater integration of the health care and public systems. In this article, we reassess the quest for integration, a quest we call the “integration project.” After examining the modest steps taken so far toward integration, we consider some conceptual barriers to integration as well as some of the risks it might portend for the public health system. Our assessment contributes to wide-ranging debates among public health advocates, practitioners, and policymakers as to the health care system's role in protecting public health, and how the public health system can best be organized to meet expected population health challenges.

Keywords: Affordable Care Act, ACA, public health

Suggested Citation

Jacobson, Peter D. and Parmet, Wendy E., Public Health and Health Care: Integration, Disintegration, or Eclipse (January 10, 2019). The Journal of Law, Medicine & Ethics, Vol. 46, No. 4, pp. 940 - 951 (2019).; Northeastern University School of Law Research Paper No. 341-2019. Available at SSRN: https://ssrn.com/abstract=3329467

Peter D. Jacobson (Contact Author)

University of Michigan School of Public Health ( email )

109 Observatory
Ann Arbor, MI 48109-2029
United States
734-936-0928 (Phone)
734-764-4338 (Fax)

HOME PAGE: http://www.sph.umich.edu/~pdj/

Wendy E. Parmet

Northeastern University - School of Law ( email )

416 Huntington Avenue
Boston, MA 02115
United States
(617) 373-2019 (Phone)
(617) 373-5056 (Fax)

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