PPACA and public health: creating a framework to focus on prevention and wellness and improve the public's health

J Law Med Ethics. Fall 2011;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.

MeSH terms

  • Health Care Reform / legislation & jurisprudence*
  • Health Promotion / organization & administration*
  • Humans
  • Patient Protection and Affordable Care Act / legislation & jurisprudence*
  • Policy Making*
  • Politics
  • Public Health / legislation & jurisprudence*
  • United States