Center for Health Law and Policy at Cleveland-Marshall College of Law, OH, USA.
J Law Med Ethics. 2011 Fall;39(3):366-79. doi: 10.1111/j.1748-720X.2011.00606.x.
PPACA epitomizes comprehensive health care reform legislation. Public health, disease prevention, and wellness were integral considerations in its development. This article reveals the author's personal experiences while working on the framework for health care reform in the United States Senate and reviews activity in the United States House of Representatives. This insider's perspective delineates PPACA's positive effect on public health by examining the infrastructure Congress designed to focus on prevention, wellness, and public health, with a particular focus on the National Prevention, Health Promotion and Public Health Council; the National Prevention, Health Promotion, Public Health, and Integrative Health Care Strategy; and the Prevention and Public Health Fund. The Council, strategy, and fund are especially important because they reflect compliance with some of the Institute of Medicine's recommendations to improve public health in the United States, as well as international health and human rights norms that protect the right to health.
PPACA 是全面医疗改革立法的典范。公共卫生、疾病预防和健康促进是其制定过程中的重要考虑因素。本文揭示了作者在美国参议院参与医疗改革框架制定过程中的个人经历，并回顾了美国众议院的相关活动。本文从内部视角审视了 PPACA 通过关注预防、健康促进和公共卫生来改善公共卫生的积极影响，重点介绍了国会设计的基础设施，包括国家预防、健康促进和公共卫生理事会、国家预防、健康促进、公共卫生和综合卫生保健战略以及预防和公共卫生基金。该理事会、战略和基金尤为重要，因为它们反映了对改善美国公共卫生的一些建议的遵守情况，以及保护健康权的国际卫生和人权规范。
