title: The state of American health care: November 2016 to November 2020, a look forward.
abstract: The election of Donald Trump, coupled with the retention of Republican majorities in the US House of Representatives and Senate, raises questions about future of the Patient Protection and Affordable Care Act, the structure and funding of the country's public health insurance programs - Medicare, Medicaid and the Child Health Insurance Program - and the direction of health policy in the United States, more generally. Political scientists are not renowned for their capacity to predict the future and many of those who forecast election results have received criticism in recent weeks for failing to predict the Trump victory. While the future is uncertain, it is possible for social scientists to offer a 'conditional causal analysis' about the future. This essay is an effort to think about the likely shape of American health care between now and the next US presidential election.
authors.affiliation: Yale University,New Haven,CT,USA.
authors.forename: Theodore
authors.initials: T
authors.lastname: Marmor
authors.affiliation: Rutgers University and the Hastings Center,New Brunswick,NJ,USA.
authors.forename: Michael K
authors.initials: MK
authors.lastname: Gusmano
mesh_terms: D003695:Delivery of Health Care / Q000639:trends*; D005544:Forecasting; D018166:Health Care Reform; D061889:Healthcare Financing; D006801:Humans; D007348:Insurance, Health; D058991:Patient Protection and Affordable Care Act; D011057:Politics; D014481:United States