The passage of the Affordable Care Act (ACA) in 2010 marked an important milestone in achieving a more equitable health care system in this country and has seen millions more Americans join the rolls of the insured. With the landmark health legislation now under attack from the new administration, protecting the gains made by the ACA, especially in the realm of less rapidly rising healthcare costs, and pushing for more radical, state-based reforms is critical.
Roosevelters believe it is critical to address the key frontiers in health reform: equity, transparency, affordability, and coordination. Increasing access to healthcare, especially for the many Americans who remain uninsured (29 million, or around 1 in 10) including those who cannot afford their premiums because government subsidies don’t close the gap and immigrants who are not even eligible for coverage under the new law; improving the quality of healthcare, especially in terms of inequalities in health outcomes along racial lines; and increasing the breadth of care coverage are all vital steps to push toward a system where access to quality, affordable health care is an option for every American.
We believe in:
- A system that provides access to quality and affordable health care is a right and precondition for all other freedoms
- A system comprised of core institutions designed to safeguard our health—hospitals, payer groups, research institutions—can and must keep costs reasonable, quality high, and access equitable
- A system that innovates and evolves to meet stimulate the economy, prepares for future crises, and meets the public health needs of its citizens
Currently funding for public health is largely handled at the federal and state levels, while medical funding can be federal, state, or non-governmentally provided. About 64% of Heath spending has come from federal tax funded expenditures. With the incoming administration, It is likely that certain portions of the ACA and Obamacare will be discontinued in upcoming years, and funding to the Department of Health and Human Services may also decrease, especially in areas such as research and provisions of reproductive rights. However, the Roosevelt Institute has the ability to write policies, especially on the local level, that can create innovative systems and solutions for healthcare issues that are less reliant on federal funding. Research into various topics of healthcare is generally funded by the federal government or through private grants provided by health-oriented NGOs and nonprofits.
Some key organizations to follow are Young Invincibles, National Academy for Social Insurance, Advocates for Youth, Commonwealth Fund, World Health Organization, Kaiser Family Foundation and Planned Parenthood. To stay up to date with the latest Health Care news, check out National Library of Medicine, Health Policy Gateway, Modern Healthcare, NPR, and The Hill. Finally, check out The Public Health Institute’s local and state health care policy guide here.
Below, we outline Roosevelt’s core healthcare issues and policy projects: