Is Affordable Care Act worsening health care?

2013-05-20T00:00:00Z Is Affordable Care Act worsening health care? Arizona Daily Star
May 20, 2013 12:00 am

By Don Kusler

Contrary to what you may have heard from its relentless critics, the Affordable Care Act will make more health care of higher quality available to more Americans.

Claims that it will create a doctor shortage are just the latest attempt to undermine support for the greatest improvement in our nation's health-care system in almost half a century.

The United States is indeed facing a shortage of doctors - especially of general practitioners - but health-care reform is not the cause. Rather, as a scholarly study published by the Annals of Family Medicine last year determined, population growth and population aging over the next dozen years will cause 85 percent of the increased need for physicians. Expanded access to medical services offered by the ACA is responsible for just 15 percent of the shortfall.

One reason extending coverage contributes so little to the shortage is that many people were already seeking treatment - usually in an emergency, when outcomes are worse and costs higher.

Though Washington didn't cause the impending doctor shortage through health-care expansion, it did cause it through irresponsible budgeting.

The federal government pays for most medical residencies, and ever since 1997 - an earlier period of budget "austerity" - the number of resident slots has been capped. Medical schools could turn out more graduates but hesitate when there are too few residency positions available.

There's a bipartisan bill in Congress to increase residency funding. It's running into the same shortsighted, indiscriminate budget-cutting mentality that's threatening Head Start for our kids, Meals on Wheels for our seniors, and important scientific research for all of us.

Everyone concerned about the looming doctor shortage should urge Congress to provide adequate funding of medical residency programs.

Let's review all the benefits the law has brought and will bring to the American public, including those who are already insured.

Children with pre-existing conditions can now get coverage. Young adults can now stay on their parents' insurance up to age 26. Seniors are now paying less for prescriptions. Insurance companies are now required to spend their ample incomes primarily on patient care, not advertising or lobbying - and if they spend too much on self-promotion, they have to send refunds to their policyholders - the first checks went out last summer.

In the coming months and years, more benefits will kick in: adults with pre-existing conditions will be covered; prescription drug prices will go down even more for seniors; Americans will be able to compare insurance options online as easily as they shop for airline tickets now, increasing the quality and driving down the cost of coverage.

The ACA will increasingly serve the health-care needs of the American people, guided by the powerful principle that everyone has the right to a healthy life.

No, public will see increasing benefits

Editor's note

Every Monday we offer pro/con pieces from the McClatchy-Tribune News Service to give readers a broad view of issues.

Don Kusler is executive director of Americans for Democratic Action.

Copyright 2014 Arizona Daily Star. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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