Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The Supreme Court on health reform: Everybody wins!

Kevin Pho, MD
KevinMD
June 28, 2012
Share
Tweet
Share

The Supreme Court upheld the Affordable Care Act.

I’ll leave the detailed legal analysis  to other commentators that you’ll no doubt find elsewhere.

Although some may not feel this way, this is an outcome everybody should be happy with.

Most important, patients should be happy.  As I wrote in the New York Times Room for Debate recently, the ACA has already provided benefits not to only the uninsured, but one of the most vulnerable segments of the population — seniors:

One of the unsung benefits of the Affordable Care Act is Medicare’s Annual Well Visit exam, which has been offered since 2011. Thanks to these visits, which I perform everyday in my primary care clinic, I have the opportunity to evaluate seniors for their risk of falling, screen for depression and ensure preventive services like vaccines and cancer screening are adhered to.

Furthermore, health reform has already helped seniors save money. In 2011 alone, nearly 3.6 million Medicare beneficiaries saved $2.1 billion in prescription drug costs.

Primary care doctors should be happy as well. As the ACP’s Bob Doherty has written, they had much to lose, including billions of dollars in higher Medicare and Medicaid reimbursements.

Of course, progressives will be happy with the outcome. The President’s signature accomplishment is allowed to stand. 32 million previously uninsured Americans will have access to affordable health insurance in 2014, which will certainly help the scores of millions who live everyday without that safety net. Those with pre-existing conditions will have access to insurance at reasonable prices. And although not optimal, various cost control initiatives, like bundling care and the formation of Accountable Care Orgnaizations, will proceed.

Conventional wisdom dictates that it would be those on the political right who would be most disappointed with this outcome. Although they may be stinging now, here’s why they should be happy as well. It will prevent, or significantly delay, the prospect of a single payer system.

The Affordable Care Act entrenches the current system of private insurers. In fact, they should expect tens of millions of new patients because of Obamacare. And concerning the individual mandate, remember it’s actually a conservative idea born from the Heritage Foundation, and implemented by Republican presidential candidate Mitt Romney in Massachusetts.

Had the ACA been struck down, we would have been back to the drawing board. No one would touch health care again for years, while costs continue to spiral out of control, and the number of uninsured continue to rise. Progressives would have introduced a Constitutionally compliant way to expand coverage that could be passed via budget reconciliation, bypassing the need for a Senate supermajority. That solution would have been a gradual expansion of Medicare: effectively, steps to a single payer system.

In fact, had the Supreme Court ruled the other way, some states couldn’t wait to go the single payer route.

And that is a true government takeover of health care.

ADVERTISEMENT

Now, I’m aware that scenario may happen whether the ACA was held up or not. If the ACA’s cost control measures fail, for instance.  But at least this gives the private insurance system a chance to fix our system before resorting to a draconian single payer route.

Obamacare is far from perfect. It doesn’t do anything to fix our broken medical malpractice system, its most glaring flaw. It doesn’t provide enough incentive for medical students to choose primary care. It doesn’t address the crushing burden of medical school education.

But it’s a start.

The Supreme Court’s ruling is an obvious victory for primary care doctors, patients, and progressives. Considering what the alternative could have been, those on the political right should take comfort in the decision as well.

Kevin Pho is co-author of Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices. He is founder and editor of KevinMD.com, also on Facebook, Twitter, Google+, and LinkedIn.

Prev

Don't accept the face value price of a drug

June 28, 2012 Kevin 2
…
Next

Doctors and patients are both losing in our health system

June 28, 2012 Kevin 18
…

Tagged as: Medicare, Primary Care, Public Health & Policy

Post navigation

< Previous Post
Don't accept the face value price of a drug
Next Post >
Doctors and patients are both losing in our health system

ADVERTISEMENT

More by Kevin Pho, MD

  • Surgeon General’s warning: the dark side of social media on children’s mental health

    Kevin Pho, MD
  • Unmasking wage disparity in health care: the truth behind the Elmhurst Hospital physician strike

    Kevin Pho, MD
  • Is FDA-approved Veozah a game-changer in menopause hot flash treatment?

    Kevin Pho, MD

More in KevinMD

  • The Spandex dilemma: Does size still matter?

    Janet L. Cray
  • Surgeon General’s warning: the dark side of social media on children’s mental health

    Kevin Pho, MD
  • Unmasking wage disparity in health care: the truth behind the Elmhurst Hospital physician strike

    Kevin Pho, MD
  • Is FDA-approved Veozah a game-changer in menopause hot flash treatment?

    Kevin Pho, MD
  • Remembering Heather Armstrong: the tragic loss of the “Queen of Mommy Bloggers” sparks a global conversation on mental health

    Kevin Pho, MD
  • Celebrating 2 million downloads of The Podcast by KevinMD!

    Kevin Pho, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 33 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The Supreme Court on health reform: Everybody wins!
33 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...