Barack Obama made reforming the U.S. health insurance system one of the main themes of his 2008 presidential campaign and the highest-profile focus of his first term in office.
He worked with House and Senate leaders to maneuver the bill that created the Patient Protection and Affordable Care Act of 2010 (PPACA) through Congress, and, since then, his administration has posted implementing regulation after implementing regulation.
1. Commercial health insurance system change
President Obama focuses on his site mainly on what he believes PPACA already has accomplished or is set to accomplish as the law takes effect.
2. Women’s health and abortion
The Obama team has worked to link the fate of PPACA to the fate of PPACA provisions that require most health plans to include benefits for contraceptive services in the package of basic preventive services that must be covered without imposing out-of-pocket costs on the patients.
Obama says PPACA already has made important changes in Medicare, such as requiring basic Medicare to impose a package of basic preventive services without imposing out-of-pocket costs on the patients, and reducing the size of the Medicare Part D prescription drug plan “doughnut hole” — the gap between the point at which routine prescription coverage ends and catastrophic coverage begins.
Obama says of Medicaid — the program for poor people and for eligible nursing home patients — mainly that he believes Romney would cut federal Medicaid funding.
5. Tort reform
Obama says nothing in his comments aimed at voters about “tort reform” — the idea of controlling health care costs by reducing what doctors and other providers spend to protect themselves against lawsuits.
6. Health accounts
Obama says nothing on his campaign website about health savings accounts or health reimbursement arrangements on his websites.