Health Reform Policy
Topics for these policy seminars have included environmental and natural resources policy, health-service delivery policy, social welfare policy, transportation policy, science and technology policy, international affairs, national security, urban and regional growth policy, and political campaigns.
This short course will meet Monday-Friday, May 16 through May 27, at the Archer Center in Washington, D.C.
This class will use the Patient Protection and Affordable Care Act as a vehicle to understand a number of the current issues facing the US Health Care system as well as to understand the process through which legislation is passed, the process of rule making and implementation, the Constitutional issues that have been raised in the conflicting decisions in the Appeals Courts , the degree to which the appropriations process determines outcomes, and alternatives to some of the initiatives in the legislation.
We will identify institutions and interests that shape health policy in Washington DC with a particular focus on the passage and implementation of the Patient Protection and Affordable Care Act. Court challenges to the Act and the strategies being implemented in the Congress and the administration to significantly alter and defend the Act.
This two week course (taught in Washington, D.C.) will examine a number of other related issues such as pharmaceutical and medical device regulation and pricing, long term care, the role of the private sector, the roles of the federal government and the states, physician fee controversies, the regulation of private insurance and the development of the exchanges at the state level, the way in which cost estimates are developed by CBO and the role of the OMB, workforce issues, public health considerations, electronic health records and initiatives to both encourage higher quality and reduce costs . This will all be in the context of the emerging likelihood of severe spending cutbacks in the years ahead.
Most days I would anticipate a guest lecturer for one hour, a lecture from me and and two hours of discussion including shorter presentations by students.., depending on the size of the class and the feasibility I would hope we could meet at other sites occasionally—in particular Congress, OMB, HHS although that might not be feasible The topics and readings listed below are tentative at this time depending on further developments and the availability of possible outside speakers. There will be individual readings and briefs for each session. In addition by the fourth session everyone will have read a book by the staff of the Washington Post Landmark: Inside Story of America’s New Health Care Law and What it Means for Us All, Public Affairs Books, 2010.
The objectives of the class will be for students to be familiar with the organization and operation of the US health system as it is organized today, that they understand the way in which legislation is developed and passed through the legislative and executive branches and vetted by the court system. That the fiscal cost at the individual, local, state and federal levels of the medical care system is understood. Offering this class in Washington DC will permit students to meet and hear from Congressional, Administration and interest group representatives as well as expert analysts in organizations such as Brookings, the Urban Institute, and the Congressional Research Service.