Philadelphia Reflections

The musings of a physician who has served the community for over six decades

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Obamacare: Examination and Response
An appraisal of the Affordable Care Act and-- with some guesswork-- its tricky politics. Then, a way to capture major new revenue, even paying down existing Medicare debt, without raising premiums or harming quality care. Then, an offering of reforms even more basic, but more incremental. Finally, the briefest of statements about the basic premise.

Text of AFFORDABLE CARE ACT, PL 111-148, March 23, 2010, Renamed HR 3590

Originally published: Thursday, December 26, 2013; most-recently modified: Thursday, June 06, 2019