The state of American health coverage: the 2022 elections and the Affordable Care Act.

Autor: Gusmano, Mickael K., Thompson, Frank J.
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Zdroj: Health Economics, Policy & Law; Jul2024, Vol. 19 Issue 3, p292-306, 15p
Abstrakt: The Affordable Care Act of 2010 (ACA) was the most significant policy breakthrough to expand health insurance coverage in the USA in 45 years. Culminating a decade-long effort by Republicans to repeal and undermine the ACA, the Trump administration launched a panoply of executive initiatives to sabotage the law. Benefitting from Democratic control of both the House and Senate during its first 2 years, the Biden administration through legislative and executive initiatives made substantial headway in reversing Trump's sabotage and further reinvigorating the ACA. The 2022 elections witnessed a shift in the partisan milieu. Republicans gained control of the House of Representatives; Democrats scored modest gains in state elections. Emphasising two pivotal features of American governance – federalism and the outsized role of the courts – this essay examines the implications of this new partisan context for Biden's efforts to bolster ACA durability prior to the 2024 presidential election. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index