{"id":2458,"date":"2016-07-12T10:40:29","date_gmt":"2016-07-12T14:40:29","guid":{"rendered":"http:\/\/blogs.bu.edu\/ellisrp\/?p=2458"},"modified":"2016-07-12T10:42:08","modified_gmt":"2016-07-12T14:42:08","slug":"obamas-jama-article-is-a-must-read-for-all","status":"publish","type":"post","link":"https:\/\/blogs.bu.edu\/ellisrp\/2016\/07\/obamas-jama-article-is-a-must-read-for-all\/","title":{"rendered":"Obama&#8217;s JAMA article is a must read for all professionals"},"content":{"rendered":"<p>There is a very important \u00a0article in this week\u2019s JAMA &#8211; Internal Medicine, written by <strong>Barach Obama<\/strong>.<\/p>\n<p>It highlights the effects of the ACA\/Obamacare. \u00a0It is free on-line.<\/p>\n<p><strong>United States Health Care Reform: Progress to Date and Next Steps <\/strong><\/p>\n<p><a href=\"http:\/\/jama.jamanetwork.com\/article.aspx?articleid=2533698\">http:\/\/jama.jamanetwork.com\/article.aspx?articleid=2533698<\/a><\/p>\n<p>If you are short on time, then the following link to just the figures provides many of the key results.<\/p>\n<p><a href=\"http:\/\/jama.jamanetwork.com\/article.aspx?articleid=2533698\">http:\/\/jama.jamanetwork.com\/article.aspx?articleid=2533698<\/a><\/p>\n<p>To me the highlights of the article are that it documents:<\/p>\n<p>The decline in the <span style=\"text-decoration: underline\">uninsured <\/span>(no surprise, but well presented) now down to 9.1 percent from over 16<br \/>\nDeclines in teen smoking from 19.5% to 10.8% due to the Tobacco Control Act of 2009 (Wow)<br \/>\nMuch slower rates of decline in the uninsured in states that refused the Medicaid expansion (no surprise)<br \/>\nThe decline in the <span style=\"text-decoration: underline\">underinsured<\/span> among privately insured as measured by the near disappeance of unlimited exposure (new to me)<br \/>\nLower rates of individual debt sent to a collection agency (great to see)<br \/>\n<strong>Negative<\/strong> rates of real cost growth in Medicare and Medicaid since 2010, with drastically lower growth in privately Insured<br \/>\nConstant share of out of pocket spending as a fraction of total spending among the employer based insurance<br \/>\n(new to me, he cites increases in deductibles offset by decreases in copays and coinsurance.)<br \/>\nForecast Medicare spending in 2019 is now 20% LOWER than when he took office.<br \/>\nDecline in Medicare 30 day, all hospital readmission rates as well as improvements in other measures.<br \/>\nThis information is important to understand to counter the repeated false claims that Obamacare is a failure, or has increased health care spending, or is bankrupting the government, all of which are shown to be false in the evidence presented here.<\/p>\n<p>Here is the link again.<\/p>\n<p><a href=\"http:\/\/jama.jamanetwork.com\/article.aspx?articleid=2533698\">http:\/\/jama.jamanetwork.com\/article.aspx?articleid=2533698<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>There is a very important \u00a0article in this week\u2019s JAMA &#8211; Internal Medicine, written by Barach Obama. It highlights the effects of the ACA\/Obamacare. \u00a0It is free on-line. United States Health Care Reform: Progress to Date and Next Steps http:\/\/jama.jamanetwork.com\/article.aspx?articleid=2533698 If you are short on time, then the following link to just the figures provides &hellip; <a href=\"https:\/\/blogs.bu.edu\/ellisrp\/2016\/07\/obamas-jama-article-is-a-must-read-for-all\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Obama&#8217;s JAMA article is a must read for all professionals<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2755,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7238,10931,7243,10933,72],"tags":[10936,252,10935,10929],"_links":{"self":[{"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/posts\/2458"}],"collection":[{"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/users\/2755"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/comments?post=2458"}],"version-history":[{"count":3,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/posts\/2458\/revisions"}],"predecessor-version":[{"id":2461,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/posts\/2458\/revisions\/2461"}],"wp:attachment":[{"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/media?parent=2458"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/categories?post=2458"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bu.edu\/ellisrp\/wp-json\/wp\/v2\/tags?post=2458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}