By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    risky jobs for lungs
    These Are the 10 Riskiest Jobs for Your Lungs
    November 15, 2022
    house cleaning tips to stay healthy this year
    Crucial House Cleaning Tips to Stay Healthy This Winter
    December 20, 2022
    Treating accidental Spinal Cord Injuries with Technology
    Treating Accidental Spinal Cord Injuries with Technology
    February 28, 2023
    Latest News
    5 Steps to a Promising Career as a Healthcare Administrator
    August 3, 2025
    Why Custom Telemedicine Apps Outperform Off‑the‑Shelf Solutions
    July 20, 2025
    How Probate Planning Shapes the Future of Your Estate and Family Care
    July 17, 2025
    Beyond Nutrition: Everyday Foods That Support Whole-Body Health
    June 15, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    The Flu Vaccine: Pros and Cons
    February 10, 2012
    SCOTUS Rules on a Couple of Important Pharma Cases
    June 27, 2011
    Weekend Athlete: Should You Have Sex Friday Night?
    March 8, 2012
    Latest News
    How IT and Marketing Teams Can Collaborate to Protect Patient Trust
    July 17, 2025
    How Health Choices and Legal Actions Intersect After an Injury
    July 17, 2025
    How communities and healthcare providers can address slip and fall injuries with legal awareness
    July 17, 2025
    Let Your Lawyer Handle the Work Before You Pay Medical Costs
    July 6, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Health Reform Office Hours
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Health Reform > Health Reform Office Hours
Health ReformPolicy & Law

Health Reform Office Hours

Gary Levin
Gary Levin
Share
4 Min Read
SHARE

Those who are implementing the accountable care act are not the same as those who wrote the law.

Those who are implementing the accountable care act are not the same as those who wrote the law.

More Read

obamacare an covered california
Obamacare and Reimbursement Rates to Providers
FDA Approves Diabetes Pill
AMA Declaration and Proposed Legislation Provides Additional Tools to Curb Obesity and Diabetes in Medicare
More on Caregiving Costs and Toll
HIPAA Privacy and Security Compliance: Should You Care?

Scott Gotllieb who is a practicing physician and also writes for the Wall Street Journal points out that many of the centrists who wrote and refined the accountable care act have left the White House Office of Health Reform.

President Obama has at the controls as his right hand woman Jeanne Lambrew, not the Secretary of Health and Human Services,  Kathleen Sebelius.

Who’s In Charge Of Implementing Obamacare And Why It Matters

It’s a relevant question now that the White House is finally releasing the pivotal regulations that outline the shape of the new insurance scheme.

Scott Gotllieb wrote more almost three years ago in the New York Post, that many of the Obama Administration’s economic centrists were leaving the White House. Left behind were some of the most progressive staffers. They would be the ones implementing the law.

That transition now seems to be complete. The few remaining centrists thinkers inside the White House, mostly scattered across the National Economic Council and Treasury, are gone – or largely marginalized when it comes to issues around implementation. The people drafting and reviewing the regulations are mostly centered in the White House and its Domestic Policy Council — and they mostly work for Jeanne Lambrew.

Normally, the Office of Management and Budget and the National Economic Council would be heavily engaged on the issuance of regulations tied to a major law like Obamacare. Not the Obama White House. The economists still play on the fiscal issues related to Medicare and Medicaid. But when it comes to Obamacare implementation, they are not calling the shots. The power is centered on Lambrew.  Lambrew is a highly competent policymaker and power player with deep experience in healthcare. A former Senior Fellow at the Center for American Progress, she is also unabashedly liberal – often serving as the architect of her party’s most progressive ideas on healthcare reform. 

After laws get passed, the principals in an administration move on (especially in a second term). The implementation work is left to the policy wonks. Those wonks tend to be a party’s true believers, representing the ideological wings of their political parties. Lambrew is deeply progressive, and will hew in that direction at the many regulatory decision points that the law leaves murky.

The only difference in this White House is how little influence the economists seem to have. And how successful Lambrew has been at consolidating her power. It seems all the moderates and centrists were dejected as to how it turned out and abandoned ship, not to be labelled with the coming failures of Obamacare.

A major stumbling block for passing a workable law was the defeat of Senator Daschles’ appointment as head of HHS in lieu of Ms. Sebelius. Daschle’s defeat was another political twist in the hanging of health care in the United States.

TAGGED:Affordable Care Act
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

technology in medical research
The Tools Helping Medical Researchers See the Full Picture
News Technology
August 3, 2025
5 Steps to a Promising Career as a Healthcare Administrator
5 Steps to a Promising Career as a Healthcare Administrator
Health
July 31, 2025
holistic dental
Holistic Dentist Services Are Natural and Safe
Dental health Specialties
July 28, 2025
botox certification
Help Improve People’s Skin Health Via Botox Certification
Skin Specialties
July 22, 2025

You Might also Like

Collaborating for Community Health Innovation

February 10, 2013
Image
Medical EducationPolicy & Law

Nurse Practitioners Can Take Some of the Pressure Off Doctor Shortage

May 24, 2012

Five Steps for Reducing Healthcare Disparities – From HHS

May 19, 2011

Cheap Generic Drugs from Emerging Markets Risky

July 7, 2011
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?