Public policy and health in the Trump era

Market-oriented health policies shifted medical resources toward high-income people, burdened the middle class with unaffordable out-of-pocket costs and deployed public money to stimulate the corporate takeover of vital health resources. [...]a single payer health-care reform offers the fairest, mos...

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Bibliographic Details
Published in:The Lancet (British edition) 2021-02, Vol.397 (10275), p.705-753
Main Authors: Woolhandler, Steffie, Himmelstein, David U, Ahmed, Sameer, Bailey, Zinzi, Bassett, Mary T, Bird, Michael, Bor, Jacob, Bor, David, Carrasquillo, Olveen, Chowkwanyun, Merlin, Dickman, Samuel L, Fisher, Samantha, Gaffney, Adam, Galea, Sandro, Gottfried, Richard N, Grumbach, Kevin, Guyatt, Gordon, Hansen, Helena, Landrigan, Philip J, Lighty, Michael, McKee, Martin, McCormick, Danny, McGregor, Alecia, Mirza, Reza, Morris, Juliana E, Mukherjee, Joia S, Nestle, Marion, Prine, Linda, Saadi, Altaf, Schiff, Davida, Shapiro, Martin, Tesema, Lello, Venkataramani, Atheendar
Format: Article
Language:English
Subjects:
Civil rights
Cost control
COVID-19
Democracy
Environmental impact
Global Health
Health care policy
Health policy
Health Services Accessibility
Healthcare Disparities
Humans
Imprisonment
Inequality
Life expectancy
Low income groups
Native peoples
Neoliberalism
Patient Protection & Affordable Care Act 2010-US
Political campaigns
Politics
Presidents
Public health
Public Policy
Racism
Rebellions
Subsidies
Trump, Donald J
Uninsured people
United States
Violence
Voting rights
White people
Xenophobia
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Summary:Market-oriented health policies shifted medical resources toward high-income people, burdened the middle class with unaffordable out-of-pocket costs and deployed public money to stimulate the corporate takeover of vital health resources. [...]a single payer health-care reform offers the fairest, most effective, and most efficient route to universal health coverage. [...]the president and the Congress must mobilise massive resources to avert climate catastrophe, address the calamities caused by COVID-19, and attenuate global inequality. The 3·4% of GDP the USA currently spends on troops and armaments should be reduced to the 1·4% average of other G-7 nations, with the savings redeployed to address urgent health, social, and environmental problems at home; reinvigorate the scientific efforts that are vital to global progress; and fund the four-times increase in foreign aid needed to reach the level recommended by the UN.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(20)32545-9