24th National Conference: Doctors Pugno, Palafox and North in Roundtable on Intended and Unintended Consequences of PPACA

Perry A. Pugno, MD, MPH; American Academy of Family Physicians Vice President for Education
Perry A. Pugno, MD, MPH; American Academy of Family Physicians Vice President for Education

 The J. Jerry Rodos Concerns

At the 23rd National Conerence on Primary Health Care Access, held in Carlsbad, California in April 2012, Doctor J. Jerry Rodos expressed the opinion that the health insurance reform  legislation that comprises PPACA was deficient in several respects.

The deficiencies include the lack of plan for developing the workforce of physicians and other health care providers needed to assure the implement the act’s provisions.

The act also concentrated its focus on the the health insurance inducstry, rather than the health care itself.

Lack of Demonstration Projects

Just as with the passage of Medicare and Medicaid, there was no attempt to implement and evaluation demonstration projects.

As a result, there is no experience base existing from pilot projects, that could have helped modify the legislation before its full implementation takes place.

Neal A. Palafox, MD, MPH; University of Hawai'i, Mililani, Oahu
Neal A. Palafox, MD, MPH; University of Hawai’i, Mililani, Oahu

Dr Rodos predicts that, like the period of implementing Medicare and Medicaid, substantive discontent with the legislation led to large numbers of physicians refusing to cooperate.

In the case of PPACA, he predicts that an much larger percentage of physicians will prove to be hostile to the act’s provisions, which will impede its successful implementation.

A Follow Up Roundtable

 

Senior Fellow Charles Q. North, MD, MS; University of New Mexico School of Medicine; Albuquerque
Senior Fellow Charles Q. North, MD, MS; University of New Mexico School of Medicine; Albuquerque

Three members of the National Conference faculty will discuss Doctor Rodos’ concerns.

Te panel consists of Doctors Perry A. Pugno of the American Academy of Family Physicians, Neal A. Palafox of the University of Hawai’i and Charles Q. North of the University of New Mexico.

Doctors Pugno and North are Senior Fellows of the National Conferences.

The panelists will try to  seek agreement among themselves on which parts of PPACA are likely to be implemented with the intended results.

The panelists will also forecast what they believe will be unintended consequences of the health insurance reform legislation.