Talk:Affordable Care Act

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October 20, 2013	Good article nominee	Listed
February 5, 2014	Peer review	Reviewed
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Wiki Education Foundation-supported course assignment

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Semi-protected edit request on 7 January 2021

This edit request has been answered. Set the |answered= or |ans= parameter to no to reactivate your request.

Hello,

This is Daniel Smerin. I am a fourth-year medical student at University of Central Florida College of Medicine. As part of a class on wikimedicine, I am requesting clearance to edit the Affordable Care Act wiki page. I would like to expand upon sections 3.4 and 3.6 using peer-reviewed reviews, systematic reviews, and meta-analysis. I specifically want to add additional information on the effects of Medicaid expansion on annual mortality rates within various demographics, as well as the impact of Medicaid expansion on access to preventative care, primary care, and tertiary care such as advanced cancer care and complex surgery.

I hope you will consider my request, and please let me know if you require additional information.

Best wishes, Daniel Dsmerin (talk) 18:54, 7 January 2021 (UTC)[reply]

Not done: this is not the right page to request additional user rights. You may reopen this request with the specific changes to be made and someone will add them for you. Terasail ^[✉] 20:02, 7 January 2021 (UTC)[reply]

WikiProject Medicine Winter 2021 UCF College of Medicine

Hello,

This is Daniel Smerin. I am a fourth-year medical student at University of Central Florida College of Medicine. As part of a class on Wikiproject Medicine, I would like to expand upon sections 3.4 and 3.6 using peer-reviewed reviews, systematic reviews, and meta-analysis. I specifically want to add additional information on the effects of Medicaid expansion on annual mortality rates within various demographics, as well as the impact of Medicaid expansion on access to preventative care, primary care, and tertiary care such as advanced cancer care and complex surgery. I also plan on adding general and specialty-specific health outcome metrics from peer-reviewed secondary sources that assess the health outcomes of the ACA.

Work Plan:

3.4 Medicaid expansion: use recent peer-reviewed reviews, systematic reviews, and meta-analysis to add information on differences in annual mortality rates within various demographics, as well as access to and usage of primary, secondary, and tertiary care between states that did and did not expand Medicaid.

3.6 Health Outcomes: use recent peer-reviewed reviews, systematic reviews, and meta-analysis to add information on the impact of various provisions within the ACA such as expanded coverage of preventative care and delivery system reform on general health outcome metrics such as annual mortality rates as well as specialty-specific health outcome metrics such as rate of detection of early-stage cancer.

Thank you for your time.

Best regards, Dsmerin (talk) 19:28, 7 January 2021 (UTC)[reply]

Peer Review

Daniel,

Overall, I think your edits have improved the quality of the article and made the article more complete. I think you did well to accomplish your goals for this module. Here are some of my thoughts on what you did well and things that could be improved:

Strengths:

- Articles are relevant and seemed to be from reputable non-biased sources.

- Citations working and support claims of the article.

- Very detailed with lots of information backing up each section

- Updated information

Weakness:

- Viewpoints talking about strengths of ACA heavily overrepresented. Wording some what biased in favor of ACA. (ex. Importantly, issues with cost-related unmet medical needs, skipped medications, paying medical bills, and annual out-of-pocket spending have been significantly reduced among low-income adults in Medicaid expansion states compared to non-expansion states.) While I agree these things are important, it's not biased. I'm not sure if you're saying the impact of the ACA was significant or the reduction was statistically significant. If the former, it's another example of bias.

- Some things in the Medicare expansion might be more appropriate under health outcome, but it's really up to you because I can also see why you might choose to put it there (ex. “ Importantly, uninsured PLWH were 40% more likely to die in the hospital than insured PLWH.”)

- Lots of detail, but might be too specific specifically with the numbers? This is up to you but I thought having the exact number for the statistics for each health outcome made the article a bit hard to read. I feel like most reader are just every day people and does not benefit from knowing the specific number. Something you can do is maybe put it in the chart format. But, this is really just me nitpicking so do what you think is best. — Preceding unsigned comment added by 14jzl (talk • contribs) 21:33, 27 January 2021 (UTC)[reply]

Thanks for the review Ji! Dsmerin (talk) 19:26, 29 January 2021 (UTC)[reply]

Repeal now, replace later

When Donald Trump announced his plans around Obamacare, he first explained **Repeal and replace**, but later changed this to **Repeal now, replace later**. — Preceding unsigned comment added by 213.118.94.49 (talk) 12:43, 27 April 2022 (UTC)[reply]

Keep in mind the Kushner family is heavily invested in the ACA Exchange subsidies and so Trump was never going to repeal Obamacare. Clam chowdah (talk) 03:40, 12 June 2022 (UTC)[reply]