--- title: "Meaning & Key Takeaway of: In short order, Obamacare is evolving…" description: "\"In short order, Obamacare is evolving into a Medicaid marketplace. Not only in terms of the design and quality of the narrow-network plans that are bei..." image: "https://sms4smile.com/quotes/i/684/scott-gottlieb-6147_design_in-short-order-obamacare-is-evolving-int_2739652.jpg" --- # In short order, Obamacare is evolving into a Medicaid… ![“In short order, Obamacare is evolving into a Medicaid marketplace. Not only in terms of the design and quality of the narrow-network plans that are being offered, but in the actual carriers that sell those policies.” quote by Scott Gottlieb](https://sms4smile.com/quotes/i/684/scott-gottlieb-6147_design_in-short-order-obamacare-is-evolving-int_2739652.jpg) [Download](https://sms4smile.com/quotes/i/684/scott-gottlieb-6147_design_in-short-order-obamacare-is-evolving-int_2739652.jpg) [Open image](https://sms4smile.com/quotes/i/684/scott-gottlieb-6147_design_in-short-order-obamacare-is-evolving-int_2739652.jpg) > “In short order, Obamacare is evolving into a Medicaid marketplace. Not only in terms of the design and quality of the narrow-network plans that are being offered, but in the actual carriers that sell those policies.” [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) ## About This Quote This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation. Obamacare is shifting toward a Medicaid marketplace, altering plan design and carrier dynamics. **In simple terms:** Obamacare becoming a Medicaid marketplace. Key Takeaway Monitor policy shifts for healthcare decisions. Themes healthcare reform policy marketplace Mood analytical concerned Type informative neutral When to use this quote - patient choices - provider negotiations - legislation Key Concepts insurance design government programs Questions to Reflect On - How will marketplace changes affect you? - What should consumers watch for? A Different Perspective Complex regulatory changes may cause confusion. ★ ★ ★ ★ ★ No ratings yet [Design](https://sms4smile.com/quotes/about/design/) [Health](https://sms4smile.com/quotes/about/health/) [Medicaid](https://sms4smile.com/quotes/about/medicaid/) [Quality](https://sms4smile.com/quotes/about/quality/) ## Related quotes > [Patients would be better off if states were able to tailor the benefits that Medicaid covers - targeting resources to sicker people and giving…](https://sms4smile.com/quotes/scott-gottlieb/patients-would-be-better-off-if-states-were-able-to-tailor-the/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [The fact is that Medicaid doesn't even serve well the medical needs of people who should be its principal focus - Americans who are…](https://sms4smile.com/quotes/scott-gottlieb/the-fact-is-that-medicaid-doesn-t-even-serve-well-the-medical-needs/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [For one thing, Medicaid is an inefficient if not ineffective platform for redistributing income. It doesn't get the dollars to poor people in forms…](https://sms4smile.com/quotes/scott-gottlieb/for-one-thing-medicaid-is-an-inefficient-if-not-ineffective-platform/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [Even with all its political bells and whistles, the Obamacare plans increasingly resemble Medicaid in terms of networks and drug lists.](https://sms4smile.com/quotes/scott-gottlieb/even-with-all-its-political-bells-and-whistles-the-obamacare-plans/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [One option is to run Medicaid like a health program - rather than an exercise in political morals - and let states tailor benefits…](https://sms4smile.com/quotes/scott-gottlieb/one-option-is-to-run-medicaid-like-a-health-program-rather-than-an/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [Advocacy groups like Families U.S.A. imagine that once Medicaid becomes a middle-class entitlement, political pressure from middle-class workers will force politicians to address these…](https://sms4smile.com/quotes/scott-gottlieb/advocacy-groups-like-families-u-s-a-imagine-that-once-medicaid/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [Trying to stretch the mission of a health program like Medicaid, as a way to launder redistributionist goals, ends up serving nobody well.](https://sms4smile.com/quotes/scott-gottlieb/trying-to-stretch-the-mission-of-a-health-program-like-medicaid-as-a/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [We have a failing Medicaid system, and you know who that's going to hurt in the end are the most vulnerable in people in…](https://sms4smile.com/quotes/luther-strange/we-have-a-failing-medicaid-system-and-you-know-who-that-s-going-to/) [Luther Strange](https://sms4smile.com/quotes/author/luther-strange/) > [What are we Democrats fighting for? We are not fighting for salvation and going to heaven. But we are fighting for Medicaid, Medicare, health…](https://sms4smile.com/quotes/charles-b-rangel/what-are-we-democrats-fighting-for-we-are-not-fighting-for-salvation/) [Charles B. Rangel](https://sms4smile.com/quotes/author/charles-b-rangel/) > [Right now, what my job is - pardon me? Those are just words. Right now, what my - my job is right now going…](https://sms4smile.com/quotes/john-lewis/right-now-what-my-job-is-pardon-me-those-are-just-words-right-now/) [John Lewis](https://sms4smile.com/quotes/author/john-lewis/) > [I certainly would like to prevent, if I could legally, anybody having an abortion, a rich woman, a middle-class woman, or a poor woman.…](https://sms4smile.com/quotes/henry-hyde/i-certainly-would-like-to-prevent-if-i-could-legally-anybody-having/) [Henry Hyde](https://sms4smile.com/quotes/author/henry-hyde/) > [I say that Medicaid isn't the only vehicle to be able to purchase coverage or be able to have coverage.](https://sms4smile.com/quotes/tom-price/i-say-that-medicaid-isn-t-the-only-vehicle-to-be-able-to-purchase/) [Tom Price](https://sms4smile.com/quotes/author/tom-price/) > [A new report shows that medicare and Medicaid made more than $50 Billion in bad payments during fiscal year 2011. Under Obamacare, that'll become…](https://sms4smile.com/quotes/fred-thompson/a-new-report-shows-that-medicare-and-medicaid-made-more-than-50/) [Fred Thompson](https://sms4smile.com/quotes/author/fred-thompson/) > [The Federal role in overcoming barriers to needed health care should emphasize health care financing programs-such as Medicare and Medicaid.](https://sms4smile.com/quotes/gerald-r-ford/the-federal-role-in-overcoming-barriers-to-needed-health-care-should/) [Gerald R. Ford](https://sms4smile.com/quotes/author/gerald-r-ford/) > [People think I'm rich and I'm making all this money off these rocket launches. Hell I'm on Medicaid!](https://sms4smile.com/quotes/mike-hughes/people-think-i-m-rich-and-i-m-making-all-this-money-off-these-rocket/) [Mike Hughes](https://sms4smile.com/quotes/author/mike-hughes/) ## More by Scott Gottlieb > [Obamacare mandates a largely uniform structure and set of benefits and insurance design across the entire country. It leaves consumers with very little real…](https://sms4smile.com/quotes/scott-gottlieb/obamacare-mandates-a-largely-uniform-structure-and-set-of-benefits/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [What makes the EpiPen unique is its delivery vehicle - an auto-injector that's packaged in a convenient, pen-like device. The product's key attribute is…](https://sms4smile.com/quotes/scott-gottlieb/what-makes-the-epipen-unique-is-its-delivery-vehicle-an-auto-injector/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [It's now evident that public health is part of national security.](https://sms4smile.com/quotes/scott-gottlieb/it-s-now-evident-that-public-health-is-part-of-national-security/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [We need to make sure that access to a curative drug doesn't become a yardstick by which poverty is eventually measured. Doing so requires…](https://sms4smile.com/quotes/scott-gottlieb/we-need-to-make-sure-that-access-to-a-curative-drug-doesn-t-become-a/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [When the price of a drug rises, it becomes profitable and the target of new competition.](https://sms4smile.com/quotes/scott-gottlieb/when-the-price-of-a-drug-rises-it-becomes-profitable-and-the-target/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [Once an effective drug is approved to treat a deadly condition, introducing a second drug to treat the same disease can be hard. It's…](https://sms4smile.com/quotes/scott-gottlieb/once-an-effective-drug-is-approved-to-treat-a-deadly-condition/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [At the heart of President Barack Obama's health-care plan is an insurance program funded by taxpayers, administered by Washington, and open to everyone. Modeled…](https://sms4smile.com/quotes/scott-gottlieb/at-the-heart-of-president-barack-obama-s-health-care-plan-is-an/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [There are two main types of immunity to an infection. Innate immunity comes from circulating cells that attack any invader the body views as…](https://sms4smile.com/quotes/scott-gottlieb/there-are-two-main-types-of-immunity-to-an-infection-innate-immunity/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [A seductive technology that works like a dream and improves lives will set off a consumer clamor, whether the new tool is an iPhone…](https://sms4smile.com/quotes/scott-gottlieb/a-seductive-technology-that-works-like-a-dream-and-improves-lives/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [Our Founders thought politicians should be accountable when it comes to citizens' right to life, liberty and the pursuit of heart surgery.](https://sms4smile.com/quotes/scott-gottlieb/our-founders-thought-politicians-should-be-accountable-when-it-comes/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [Trying to stretch the mission of a health program like Medicaid, as a way to launder redistributionist goals, ends up serving nobody well.](https://sms4smile.com/quotes/scott-gottlieb/trying-to-stretch-the-mission-of-a-health-program-like-medicaid-as-a/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [Rather than redistribute physician income as a way to subsidize an expansion of government control, Mr. Obama should fix the payment system to align…](https://sms4smile.com/quotes/scott-gottlieb/rather-than-redistribute-physician-income-as-a-way-to-subsidize-an/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [The ability of working class Americans to bargain for health coverage at work gave them access to the same basic packages of benefits as…](https://sms4smile.com/quotes/scott-gottlieb/the-ability-of-working-class-americans-to-bargain-for-health-coverage/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [Historical records show that smallpox was a human scourge for thousands of years. The virus produces high fever, severe back pain and scarring eruptions…](https://sms4smile.com/quotes/scott-gottlieb/historical-records-show-that-smallpox-was-a-human-scourge-for/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) > [While faulty information from a digital health tool can influence people to make bad decisions, the risks are far lower than those posed by…](https://sms4smile.com/quotes/scott-gottlieb/while-faulty-information-from-a-digital-health-tool-can-influence/) [Scott Gottlieb](https://sms4smile.com/quotes/author/scott-gottlieb/) [Explore all 100 Scott Gottlieb quotes ](https://sms4smile.com/quotes/author/scott-gottlieb/) ## More Design quotes > [That's the great secret of creativity. You treat ideas like cats: you make them follow you.](https://sms4smile.com/quotes/ray-bradbury/that-s-the-great-secret-of-creativity-you-treat-ideas-like-cats-you/) [Ray Bradbury](https://sms4smile.com/quotes/author/ray-bradbury/) > [Plenty of white space and generous line spacing,and don't make the type size too miserly. Then you will be assured of a product fit…](https://sms4smile.com/quotes/giambattista-bodoni/plenty-of-white-space-and-generous-line-spacing-and-don-t-make-the/) Giambattista Bodoni > [Designers shouldn’t design for museums any more than mummies should die for them.](https://sms4smile.com/quotes/ralph-caplan/designers-shouldn-t-design-for-museums-any-more-than-mummies-should/) [Ralph Caplan](https://sms4smile.com/quotes/author/ralph-caplan/) > [The market may never coalesce around one basic design, or even around two or three dominant devices.](https://sms4smile.com/quotes/tom-peters/the-market-may-never-coalesce-around-one-basic-design-or-even-around/) [Tom Peters](https://sms4smile.com/quotes/author/tom-peters/) > [The display is the computer.](https://sms4smile.com/quotes/jen-hsun-huang/the-display-is-the-computer/) Jen-Hsun Huang > [Design is not making beauty, beauty emerges from selection, affinities, integration, love.](https://sms4smile.com/quotes/louis-kahn/design-is-not-making-beauty-beauty-emerges-from-selection-affinities/) [Louis Kahn](https://sms4smile.com/quotes/author/louis-kahn/) > [The beauty of New York is unintentional; it arose independent of human design, like a stalagmite cavern.](https://sms4smile.com/quotes/milan-kundera/the-beauty-of-new-york-is-unintentional-it-arose-independent-of-human/) [Milan Kundera](https://sms4smile.com/quotes/author/milan-kundera/) > [Like many other scientists who hold the Catholic faith, I see the Creator's plan and purpose fulfilled in our universe. I see a planet…](https://sms4smile.com/quotes/kenneth-r-miller/like-many-other-scientists-who-hold-the-catholic-faith-i-see-the/) [Kenneth R. Miller](https://sms4smile.com/quotes/author/kenneth-r-miller/) > [I design some of my own clothes now.](https://sms4smile.com/quotes/kiernan-shipka/i-design-some-of-my-own-clothes-now/) [Kiernan Shipka](https://sms4smile.com/quotes/author/kiernan-shipka/) > [Programmers are always surrounded by complexity; we cannot avoid it… If our basic tool, the language in which we design and code our programs,…](https://sms4smile.com/quotes/tony-hoare/programmers-are-always-surrounded-by-complexity-we-cannot-avoid-it-if/) [Tony Hoare](https://sms4smile.com/quotes/author/tony-hoare/) > [Design is a very personal thing. It's like art. Your personal choice plays a big role.](https://sms4smile.com/quotes/gauri-khan/design-is-a-very-personal-thing-it-s-like-art-your-personal-choice/) [Gauri Khan](https://sms4smile.com/quotes/author/gauri-khan/) > [“Designing posters, for me, is not only a commercial pursuit but also a philosophical endeavor.”](https://sms4smile.com/quotes/fang-chen/designing-posters-for-me-is-not-only-a-commercial-pursuit-but-also-a/) Fang Chen > [I am not a great believer in dialectical struggle. I am much more of a fusion person. I see it as a dialogue, or…](https://sms4smile.com/quotes/marina-warner/i-am-not-a-great-believer-in-dialectical-struggle-i-am-much-more-of-a/) [Marina Warner](https://sms4smile.com/quotes/author/marina-warner/) > [Users are not designers.](https://sms4smile.com/quotes/jakob-nielsen/users-are-not-designers/) [Jakob Nielsen](https://sms4smile.com/quotes/author/jakob-nielsen/) > [I write the way you might arrange flowers. Not every try works, but each one launches another. 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