The Individual Mandate: Implications for Public Health Law

Author:

Parmet Wendy E.

Abstract

No provision of the Patient Protection and Affordable Care Act (PPACA) has proven to be more contentious than the so-called “individual mandate.” Starting in 2014, the mandate will impose a penalty on non-exempt individuals who lack health insurance. According to Congress, the mandate is essential to ensuring near universal coverage. Without it, PPACA’s insurance reforms will lead healthy individuals to delay purchasing health insurance until they require medical care, resulting in risk pools with a disproportionate share of high-risk people. The price of insurance will then climb, causing more and more not-so-sick people to forego health insurance. The resulting “death spiral” will make insurance unaffordable to many more Americans.

Publisher

Cambridge University Press (CUP)

Subject

Health Policy,General Medicine,Issues, ethics and legal aspects

Reference112 articles.

1. “Recommendations Regarding Interventions to Improve Vaccination Coverage in Children, Adolescents, and Adults,”;American Journal Preventive Medicine,2000

2. 14. Id., at § 5000A (c)(1)(B).

3. 113. I.R.C. § 36B (West 2010) (tax credit for individuals); I.R.C. § 45R (West 2010) (tax credit for small employers); 42 U.S.C.A. § 18071 (reduced cost sharing for individuals with income between 100 and 400 percent of the federal poverty level).

4. 85. See Ogolla and Shaw, supra note 59, at 190.

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