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-  2018 

The Affordable Care Act and the Faltering Revolution in Behavioral Health Care

DOI: 10.1177/0020731417753674

Keywords: Affordable Care Act,behavioral health care,health care,health insurance,mental health,mental health care,mental illness,psychiatric revolution,single-payer,substance use

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Abstract:

Often described in such terms as a “revolution” and a “game-changer” for the behavioral health sector in the United States, the Affordable Care Act has helped to enhance coverage for mental health and substance use disorders while encouraging service system innovations at the organizational level. However, tens of millions of Americans still lack health insurance, insurance companies are resisting the implementation of parity coverage rules, and inequalities in the financing and organization of care continue to worsen in key respects. This article examines these difficulties and their political-economic nature, highlighting the need for a single-payer framework if the task of reform is to be fulfilled

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