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Implications of ACA Repeal : Effects on Integrative Medicine

With the installation of President Trump, patients, medical practitioners and insurance providers are all asking what developments might be expected for the Affordable Care Act (ACA), also known as Obamacare, and how repeal could affect the USA healthcare system. While most recent efforts for a full legislative appeal remain uncertain, the scope of the ACA’s effectiveness as a national policy is diminished by the continued state of uncertainty. Healthcare leaders and policy makers need to recognize the far-reaching implications for Integrative Medicine (IM) through repeal of the ACA. Since the enactment of the ACA, there has been a notable rise in engagement of integrative services throughout the US. In addition to expanded evidence and wider acceptance by conventional healthcare providers, specific ACA provisions allot for inclusion of integrative services. A repeal of the ACA may have an impact on IM’s access, growth and development through a change in reimbursement and coverage by depreciating reimbursement policies, limiting the number of services, reducing patients’ ability to access such modalities and sustaining practitioners able to cultivate the field. In addition, repeal of the ACA will only give cause to regenerate previously established challenges surrounding key IM agendas. What occurs in the USA in the months ahead could have global ramifications for the practice and prolifera-