"But I think more important," he said, "we are communicating that the Medicare program has changed fundamentally, to keep beneficiaries well and to keep them healthy...The Medicare program has shifted from a program that cares for beneficiaries when they're sick but also to one that keeps beneficiaries well and healthy and focuses on their patients needs to the greatest extent possible."
Aside from the U.S. House of Representatives 31st attempt on Wednesday to repeal the act, this legislation still has a long way to go. (The bill was approved by a vote of 244 to 185. It is not expected to be approved by the Senate.) As Atul Gawande, MD, said in a recent article in the New Yorker: "Many levers of obstruction remain; many hands will be reaching for them."
The administration can and should be much more out in front about the legislation's mandates to improve quality with as much forcefulness and gravitas—preferably even more so—to explain how this legislation doesn't just deal with money and coverage. In so many very specific ways, it holds the promise to actually improve health and prolong life.
Why is that something to hide?