The U.S. Supreme Court upheld key provisions of the Patient Protection and Affordable Care Act. The individual mandates and the optional Medicaid expansion will begin on January 1, 2014.
Decision-making capacity can be preserved in patients with mental illness and should be formally assessed in the context of their values and past decisions.
AMA J Ethics. 2017;19(5):416-425. doi:
10.1001/journalofethics.2017.19.5.ecas1-1705.
Physician partners in a clinical practice should consider the ethical implications of joining a hospital system-based ACO, including whether there will be pressure to consider the hospital system’s bottom line.
AMA J Ethics. 2015;17(7):622-629. doi:
10.1001/journalofethics.2015.17.7.bndr1-1507
Survey of faculty physicians at the University of Pennsylvania led to a list of proposals for health care reforms beyond those included in the Affordable Care Act.
AMA J Ethics. 2015;17(7):680-688. doi:
10.1001/journalofethics.2015.17.7.sect2-1507.
The Affordable Care Act broadens health coverage primarily through market mechanisms, building on the public-private partnership in service of an important policy goal.
AMA J Ethics. 2015;17(7):665-671. doi:
10.1001/journalofethics.2015.17.7.msoc1-1507
The “Cadillac tax” on high-cost employer-sponsored health coverage exacerbates inequities by differentially affecting the costs and subsidization of coverage for lower- and higher-income workers.
AMA J Ethics. 2015;17(7):672-679. doi:
10.1001/journalofethics.2015.17.7.sect1-1507.