We estimate the effect of the Affordable Care Act Medicaid expansion on county-level mortality in the first four years following expansion. We find a reduction in all-cause mortality in ages 20 to 64 equaling 11.36 deaths per 100,000 individuals, a 3.6 percent decrease. This estimate is largely...

This paper investigates the short-run impact of public insurance expansion under the Affordable Care Act on out-of-pocket medical spending (OOP) and risk exposure among low-income, eligible households as well as the incidence of the cost of providing insurance. Using data from the Medical...

This paper observes that given the state statutory scheme for contraceptive coverage that is already in place, the ACA’s Medicaid expansion is potentially health reform’s greatest contribution to expanding access to reproductive health care. This paper also observes that state-level activism...

The Patient Protection and Affordable Care Act of 2010 (“ACA”) requires most Americans to obtain health insurance for themselves and their dependents by 2014. In a recent essay, Professor Douglas Kahn and Professor Jeffrey Kahn take issue with one of several justifications for what has...

This essay provides a brief overview of the major provisions of the Patient Protection and Affordable Care Act, characterizing the federal effort to require health insurance coverage for all Americans as a first step in an incremental process of expanding access to health care services on an...

This essay explores the new social contract of healthcare solidarity through private ownership, markets, choice, and individual responsibility embodied in the Patient Protection and Affordable Care Act. This essay first explains the four main health care risk distribution institutions affected...