Title

Health insurance reform and the tensions of federalism

Document Type

Journal Article

Publication Date

2010

Journal

New England Journal of Medicine

Volume

Volume 362, Issue 24

Inclusive Pages

2244-2246

Keywords

Federal Government; Government Regulation; Health Care Reform--legislation & jurisprudence; Insurance, Health--legislation & jurisprudence; State Government; Health Care Costs

Comments

The enactment of the Patient Protection and Affordable Care Act (ACA) marks the beginning of a new chapter in the centuries-long debate about the appropriate balance between the states and the federal government in the development, administration, and enforcement of domestic policy in the United States. As health care reform is implemented, a new set of federalism-related tensions will arise regarding the best ways to ensure health care coverage for all Americans, secure access to care, promote prevention and wellness, and modernize delivery systems in an effort to achieve better outcomes at lower cost.

Peer Reviewed

1

Open Access

1