ObamaCare Facts reported at the end of first quarter 2015, that 16.4 million people had been covered by insurance under the Patient Protection and Affordable Care Act (ACA). The most significant health care reform in the 50 years since Medicare and Medicaid, the ACA introduced initiatives designed not only to extend insurance coverage but to improve the value of the care patients receive, while holding rising costs in check. Contributors to the July issue help readers—particularly physicians and physicians-to-be—understand what the ACA means for patients, clinical research, physician specialty choice, and physician payment.
Clinicians can support shared decision making by assessing patients’ knowledge, eligibility for screening, and preferences for engagement—active, collaborative, or passive—in the decision making process.
AMA J Ethics. 2015;17(7):601-607. doi:
Because health systems with high-functioning primary care services have decreased mortality and improved health outcomes, the sector can be classified as a public good, like police and fire services and public education.
AMA J Ethics. 2015;17(7):637-646. doi: