Intended for healthcare professionals

Observations Yankee Doodling

There’s more to Obamacare than health insurance

BMJ 2017; 356 doi: (Published 20 January 2017) Cite this as: BMJ 2017;356:j338
  1. Douglas Kamerow, senior scholar, Robert Graham Center for policy studies in primary care, professor of family medicine at Georgetown University, and associate editor, The BMJ
  1. dkamerow{at}

Will public health, research, and quality improvement funding be repealed as well?

As Donald J Trump takes the oath of office to be the 45th US president, Congress has already begun the process of repealing the Affordable Care Act (“Obamacare”). Despite having a majority in both houses of Congress, Republicans cannot simply repeal the Act, because they don’t have the “super-majority” of the Senate that would be needed to cut off a Democratic filibuster. They can, however, by invoking an arcane and complex legislative process called “budget reconciliation,” limit debate on laws and pass them with their simple majority. This is the process they have just begun by passing budget …

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