Healthcare Reform: Implications for Chiropractic
SOURCE: ACA News ~ December 2013
By James J. Lehman, DC
Earlier this year, Daren Anderson, MD, and I discussed healthcare reform, primary care teams and the integration of chiropractic services into the healthcare system as valuable members of the medical team with ACA News readers.  Since that time, the government of the United States was shut down for 16 days in an attempt to delay healthcare reform and defund the Affordable Care Act.  Yet the Health Insurance Marketplace is open with the task of finding quality health coverage for Americans through private companies.  Affordable Care Act funding continues as the law of the land. 
What follows is information regarding healthcare reform and suggestions for those chiropractic physicians interested in joining the healthcare delivery systems of the 21st century as valuable members of healthcare teams within coordinated care organizations.Healthcare Reform
Healthcare reform is not a new concept. In the late 1800s, 11 industrial nations developed social/national insurance. Theodore Roosevelt, the 26th U.S. president, unsuccessfully supported progressive healthcare reform during 1912.
Former Kansas Sen. Bob Dole (R) expressed his concerns regarding our healthcare crises more than 40 years ago. Subsequently, he supported healthcare reform with Sen. Tom Daschle (D), urging “the joint leadership to get together for America’s sake.” 
President Bill Clinton introduced the Health Security plan on Sept. 23, 1993. One year later, healthcare reform died a quiet death. 
President Obama signed into law the Patient Protection and Affordable Care Act (H.R. 3590) and the Health Care Education and Reconciliation Act (H.R. 4872) — together known as the Affordable Care Act (ACA) — on March 23, 2010.Affordable Care Act
The government promulgates the notion that the ACA will provide Americans with better health security by putting in place comprehensive health insurance reforms that will:
- Expand coverage;
- Hold insurance companies accountable;
- Lower healthcare costs;
- Guarantee more choice; and
- Enhance the quality of care for all Americans.