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Healthcare after the Supreme Court Verdict

With the fate of the nation’s healthcare overhaul decided, the Forum at Harvard School of Public Health discussed the way forward for patients, providers and politicians. Moderated by Reuters healthcare correspondent Toni Clarke, the panel included Robert Blendon, professor of health policy at HSPH; John McDonough, director of the Center for Public Leadership at HSPH; Regina Herzlinger, professor of business administration at Harvard Business School; Wendy Mariner, professor of health law at Boston University School of Public Health. See a replay at www.ForumHSPH.org.

by Eric Martyn edited by michele.gershberg 6/29/2012 4:03:11 PM
by Eric Martyn 6/29/2012 3:03:14 PM

Mariner: I'm not sure this limitation on the Commerce Clause will have a huge impact elsewhere. We will still have an EPA, FDA. But they have drawn a hard line about engagement.

by michele.gershberg 6/29/2012 3:33:13 PM
Ruling could help Romney because he is running against taxes, Harvard's Blendon says #SCOTUSForum

by lewis.krauskopf 6/29/2012 3:34:46 PM
Question from online: Who are the 32 million Americans who will now get coverage?

by michele.gershberg 6/29/2012 3:36:43 PM
McDonough: About half are very poor Americans targeted through Medicaid expansion. The other half are eligible for sliding scale subsidies and a diverse population. Many live in Southern states TX, LA, FL

by michele.gershberg 6/29/2012 3:37:42 PM
McDonough: Half of estimated 32 mln to be covered are very poor; rest a diverse group but many live in Southern states #SCOTUSForum

by lewis.krauskopf 6/29/2012 3:37:47 PM
Herzlinger: Let's add to that the chronically ill who have been strictly limited in their healthcare access up until now, likely more than 6 mln people

by michele.gershberg 6/29/2012 3:38:50 PM
Question for the panel: How will the general public be educated on how ACA will change their lives and who will be responsible for doing that?

by Marwan 6/29/2012 3:39:45 PM
Anyone else wondering what will be the next area of "Tax" for non-compliance? If you don't stop smoking we will "Tax" you. If you don't lose 20 lbs we will "Tax" you. If you don't wear knee pads and helmets while tossing a ball in your back yard with your kid we will "Tax" you. And its all for your own good. Great victory!! The SCOTUS just gave congress the ultimate power over the citizens that elected them into office. Hmmm.

by BikerJoe 6/29/2012 3:41:15 PM
McDonough: In Mass, less than 1% of public pays mandate penalty #SCOTUSForum

by lewis.krauskopf 6/29/2012 3:43:07 PM
Mariner: Eventually insurers will have to pressure doctors and other providers to take less pay

by michele.gershberg 6/29/2012 3:46:16 PM
McDonough: Parts of law address shortages of physicians/healthcare workers, but there are fears ACA will worsen shortages #SCOTUSForum

by lewis.krauskopf 6/29/2012 3:48:52 PM
@BikerJoe Your concern is domino theory- where will the limits be placed? Can I get taxed for not working out at the gym? In essence, you DO pay taxes if you don't stop smoking-it's an additional tax on cigarettes that you won't pay when you buy broccoli. So, yeah, I'd say that taxes on ancillary adverse health behaviors will occur, however circuitously, and rightfully so.

by Marwan 6/29/2012 3:49:22 PM
McDonough: Mass is much better off in terms of workforce shortages than other parts of country #SCOTUSForum

by lewis.krauskopf 6/29/2012 3:50:44 PM
Question from audience: So who won't be covered by the new law? #SCOTUSForum

by michele.gershberg 6/29/2012 3:51:18 PM
McDonough: About 20 mln people, including undocumented immigrants, people who won't sign up for Medicaid and some who will pay the penalty rather than buy insurance

by michele.gershberg 6/29/2012 3:52:06 PM
Panel takeaway: Mass not be ideal healthcare model for country due to state's wealth, strong doctor/nursing staffing #SCOTUSForum

by lewis.krauskopf 6/29/2012 3:52:49 PM
With less reimbursement to physicians, it seems the nation's brightest will no longer pursue medicine seeing the vast expense/time commitment needed for training with a lower earning potential. In addition patients will suffer as more and more care will be provided by mid-level providers such as CNPs and PAs that lack the scope of training a physician does.

by Mike 6/29/2012 3:53:51 PM
already living in an area that has somewhat mediocre health care I pay a tremendous amount for health care coverage. Will this increase my out of pocket as more and more services will be over billed past what the insurance will pay?

by Already Concerned 6/29/2012 3:56:08 PM
McDonough: "Tragedy" that real concrete vision of making Medicaid a more national program has been tattered #SCOTUSForum

by lewis.krauskopf 6/29/2012 3:57:01 PM
Mariner: I worry about discussions with the deficit and costs of implementing ACA will mean chopping off many of the innovative programs to improve healthcare #SCOTUSForum

by michele.gershberg 6/29/2012 3:59:43 PM
That wraps up our discussion on the Supreme Court ruling. A replay will be up later today at www.ForumHSPH.org.

by michele.gershberg 6/29/2012 4:02:21 PM
@Mike Completely misinformed and simply not true. With the expansion of Medicaid and an increase in health care utilization, you will actually see more services being covered and paid for. The result will increase solvency of health service organizations by decreasing unreimbursed services currently offered to uninsured. Increased solvency of these institutions will allow for an eventual increase in compensation, particularly for PCPs.

by Marwan 6/29/2012 4:04:13 PM

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