By Manish K. Sethi, MD; Alex A. Jahangir, MD; and William T. Obremskey, MD
What orthopaedic surgeons need to know HR 3200 (ultimately passed as HR 3590, public law 111-148)—the Patient Protection and Affordable Care Act of 2010—has been widely discussed in the context of the dramatic changes it will make in the insurance coverage of millions of Americans. Widely hailed as the biggest restructuring of healthcare delivery since the Johnson administration, it will dramatically reshape the structure of American health care with its emphasis on universal coverage and value-based care.
Layered deep within the bill itself, however, is an important issue that is infrequently discussed. HR 3590 dramatically changes the relationship between the U.S. government and the medical device industry.