The final report on Obamacare's performance during Obama's administration is out. Mortality stats got worse for the second year in a row.
Not sure how the steady rise in unintentional injuries speaks at all to Obamacare.
For the most part, unintentional injuries are fatal drug overdoses. The mismanagement of the opioid crisis is one of the biggest public health failures of the Obama years.
What should have been done? Is it being done now?
What should have been done was a much faster recognition of the connection between legit opioid prescriptions and opioid abuse, more focus on diagnosing and treating opioid use disorder, and better prescription guidance for providers. We still have only a limited idea, and government programs have been notoriously awful in their prescription policies (Medicare, Medicaid, military medical system, the VHA, etc).
The VHA has cleaned up its prescription policies somewhat but hasn't done a good job of funding and managing its addiction treatment programs; the military has improved their prescription policies somewhat, but still uses bad paper discharges inappropriately
; and the feds punished manufacturer Insys for their aggressive promotion policies of fentanyl containing drug Subsys (all without taking accountability for paying for prescriptions they never should have paid for of coarse)
Other than that, most everything good is being done at the state and local level. States are taking the lead on implementing improved opioid prescription policies (Medicaid and Medicare are following their lead instead of taking it); states and municipalities are funding better toxicology in mortality reports (one of the reasons the opioid death rate is going up-- we didn't know how high it was before); and states and municipalities are providing first responders better training and Narcan.
There's also a big focus on addiction treatment through Medicaid but this is a problem-- states are struggling to expand capacity when budgets are tight and pension liabilities are exploding, there's a ton of fraud, HHS guidance and oversight is poor, and there's always the threat that HHS will do a clawback years after the money was spent.
HHS was a mess when Obama left office; other than not hiring Jeanne Lambrew, the orange one hasn't done anything to help.
Wonder why that is, when more people gained access to health insurance.
The opioid crisis is a part of it, but bigger factors are probably rising deductibles, rising drug prices, out-of-network billing for in-network care, the rise of aggressive coding for medical bills, and inadequate oversight over preventative doctor visits (some providers find ways to charge you during free visits)-- people are skipping or postponing beneficial medical treatment because of cost.
The problem isn't really that complicated, its that our health care bureaucracies and publicly funded health programs are uniquely dysfunctional.