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    What a Gorsuch Supreme Court appointment could mean to healthcare


    Bruce Ruben, MD, medical director of Encompass HealthCare and Wound Medicine, says the overall impact of the Supreme Court at large or individually has little impact on healthcare and its ability to challenge any healthcare law. 


    In case you missed it: Apple looking to expand healthcare presence


    “At the present time, most of healthcare is managed by third parties. They deliver and pay practitioners in these third-party contracts such that the Supreme Court would adjudicate issues on these contracts based on law,” he says. “The impact of the current nominee would likely be minimal, as the Supreme Court historically has to enforce these contracts and the unambiguous intent of the contract language.”

    Angood notes that the medical community is watching closely what happens with Gorsuch and the Trump administration’s dealings with healthcare overall.

    A fast-paced full repeal of the ACA that negatively impacts millions of people will not be tolerated politically by either party, he says, and certainly not at state legislature levels without a considered and effectively deliberated set of replacement amendments that balance the needs of the population with the fiscal responsibility of government.

    “As a result, the adjustments to the ACA will be slowed up and will occur over several months,” he says. “The net result will become a stronger ACA that will have its original flaws repaired and ultimately provide good coverage for the population with affordable outcomes for individuals as well as the government.”

    Keith Loria
    Keith Loria is a contributing writer to Medical Economics.


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