MN Physician February 2017

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MINNESOTA

FEBRUARY 2017

PHYSICIAN

THE INDEPENDENT MEDICAL BUSINESS JOURNAL

Volume XXX, No. 11

Reforming health care reform A look at proposed options BY STEPHEN WARCH, JD, AND LINDSAY MCLAUGHLIN, JD, MPH

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resident Donald Trump and a Republicancontrolled House and Senate are in the process of repealing the Affordable Care Act (ACA). At the time of this writing, both the Senate and House approved a budget resolution to begin the repeal. This article examines what lawmakers can legally change and potential policy proposals that would change the future of the health care industry.

What can lawmakers legally change under the ACA?

Precision medicine Translating bioscience into individualized clinical practice BY DAVID R. BROWN, MD, FACE

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he foundation that will truly transform health care to meet the individualized needs of patients rests on two concepts: 1) human biology is complex, and 2) medicine is information science. Precision medicine (P4), coupled with the application of molecular-based technologies and digital information to define personalized biologic expression, will be the disruptive innovation medicine has been striving for. P4 will have an impact on diagnostics and therapeutics, as well as enhancing the etiology, pathogenesis, and prognosis of clinical conditions. This revolution in health care is driven by the simultaneous emergence and advancement of multidisciplinary digital Precision medicine to page 164

On Jan. 12, 2017, the Senate passed a non-binding budget resolution that instructs committees with jurisdiction over the ACA to draft repeal legislation. The House passed the resolution the next day, allowing Congress to start the “reconciliation� process. This process requires just 51 votes to pass a measure in the Senate, not the usual 60 for a Reforming health care reform to page 184


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