--- title: "Meaning & Key Takeaway of: What the Affordable Care Act started was…" description: "\"What the Affordable Care Act started was a change in the American health care system from paying for procedures to paying for outcomes, paying for heal..." image: "https://sms4smile.com/quotes/i/6ea/tim-kaine-1918_affordable_what-the-affordable-care-act-started-was_1299523.jpg" --- # What the Affordable Care Act started was a change in the… ![“What the Affordable Care Act started was a change in the American health care system from paying for procedures to paying for outcomes, paying for health. Other nations have already made that move. We pay for procedures and we get the best procedures in the world and we get the most procedures in…” quote by Tim Kaine](https://sms4smile.com/quotes/i/6ea/tim-kaine-1918_affordable_what-the-affordable-care-act-started-was_1299523.jpg) [Download](https://sms4smile.com/quotes/i/6ea/tim-kaine-1918_affordable_what-the-affordable-care-act-started-was_1299523.jpg) [Open image](https://sms4smile.com/quotes/i/6ea/tim-kaine-1918_affordable_what-the-affordable-care-act-started-was_1299523.jpg) > “What the Affordable Care Act started was a change in the American health care system from paying for procedures to paying for outcomes, paying for health. Other nations have already made that move. We pay for procedures and we get the best procedures in the world and we get the most procedures in the world, and then we spend a huge chunk of our GDP on health care, but we don't have the best outcomes.” [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) ## About This Quote This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation. The ACA shifted focus from volume of services to health outcomes, emphasizing value over quantity. **In simple terms:** Shift from procedures to health results. Key Takeaway Prioritize outcomes over volume. Themes health policy cost control outcome-based care system reform comparative health systems Mood analytical concerned Type policy informative When to use this quote - government budgeting - hospital administration - insurance design - patient advocacy Key Concepts Value-based care risk adjustment population health health economics Questions to Reflect On - How can outcomes be measured fairly? - What incentives ensure quality over quantity? A Different Perspective Implementation challenges include measuring outcomes accurately. ★ ★ ★ ★ ★ No ratings yet [Care](https://sms4smile.com/quotes/about/care/) [Change](https://sms4smile.com/quotes/about/change/) [Health](https://sms4smile.com/quotes/about/health/) [Health care](https://sms4smile.com/quotes/about/health-care/) [Health care system](https://sms4smile.com/quotes/about/health-care-system/) [Nations](https://sms4smile.com/quotes/about/nations/) [World](https://sms4smile.com/quotes/about/world/) ## Related quotes > [Nations that pay for outcomes and health actually spend a lower percentage of GDP, and they have better outcomes. And so the Affordable Care…](https://sms4smile.com/quotes/tim-kaine/nations-that-pay-for-outcomes-and-health-actually-spend-a-lower/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [Nothing is more valuable to people than health care, and by paying, they feel less like beggars and more like 'customers' who can and…](https://sms4smile.com/quotes/muhammad-yunus/nothing-is-more-valuable-to-people-than-health-care-and-by-paying/) [Muhammad Yunus](https://sms4smile.com/quotes/author/muhammad-yunus/) > [In the Senate, I will defend the protections in the Affordable Care Act, and expand health care to more Americans.](https://sms4smile.com/quotes/cal-cunningham/in-the-senate-i-will-defend-the-protections-in-the-affordable-care/) [Cal Cunningham](https://sms4smile.com/quotes/author/cal-cunningham/) > [I don't think it's any secret I've never been an advocate for the Affordable Care Act.](https://sms4smile.com/quotes/brian-sandoval/i-don-t-think-it-s-any-secret-i-ve-never-been-an-advocate-for-the/) [Brian Sandoval](https://sms4smile.com/quotes/author/brian-sandoval/) > [“If the federal government really wanted to provide affordable, quality healthcare to as many citizens as possible (including the poor), they would be deregulating…](https://sms4smile.com/quotes/chris-hambleton/if-the-federal-government-really-wanted-to-provide-affordable-quality/) Chris Hambleton > [The Affordable Care Act was passed in large part because of recognition that our nation's health care system is not working. The act is…](https://sms4smile.com/quotes/john-hickenlooper/the-affordable-care-act-was-passed-in-large-part-because-of/) [John Hickenlooper](https://sms4smile.com/quotes/author/john-hickenlooper/) > [I am on the Health Education Labor Committee. That committee wrote the Affordable Care Act. The idea I would dismantle health care in America…](https://sms4smile.com/quotes/bernie-sanders/i-am-on-the-health-education-labor-committee-that-committee-wrote-the/) [Bernie Sanders](https://sms4smile.com/quotes/author/bernie-sanders/) > [The Affordable Care Act is no longer affordable.](https://sms4smile.com/quotes/donald-trump/the-affordable-care-act-is-no-longer-affordable/) [Donald Trump](https://sms4smile.com/quotes/author/donald-trump/) > [The Affordable Care Act has failed its promises to lower costs, to let people keep their doctor and to let people keep their plans.](https://sms4smile.com/quotes/brian-mast/the-affordable-care-act-has-failed-its-promises-to-lower-costs-to-let/) [Brian Mast](https://sms4smile.com/quotes/author/brian-mast/) > [I hope the new health care exchanges created under the Affordable Care Act will provide some help.](https://sms4smile.com/quotes/laurence-kotlikoff/i-hope-the-new-health-care-exchanges-created-under-the-affordable/) [Laurence Kotlikoff](https://sms4smile.com/quotes/author/laurence-kotlikoff/) > [The Affordable Care Act has been designed to provide health security by driving competition, lowering premiums, and protecting families.](https://sms4smile.com/quotes/charles-b-rangel/the-affordable-care-act-has-been-designed-to-provide-health-security/) [Charles B. Rangel](https://sms4smile.com/quotes/author/charles-b-rangel/) > [The White House approved an exemption in Obamacare coverage for Congress and members of their staff. Members complained that the Affordable Care Act will…](https://sms4smile.com/quotes/jay-leno/the-white-house-approved-an-exemption-in-obamacare-coverage-for/) [Jay Leno](https://sms4smile.com/quotes/author/jay-leno/) > [My biggest fear, that 27 percent of Americans under 65 have an existing health condition that, without the protections of the Affordable Care Act,…](https://sms4smile.com/quotes/atul-gawande/my-biggest-fear-that-27-percent-of-americans-under-65-have-an/) [Atul Gawande](https://sms4smile.com/quotes/author/atul-gawande/) > [ \[Tom Cotton\] has been an absolute champion of the idea of getting rid of Obamacare, scrapping the Affordable Care Act. ](https://sms4smile.com/quotes/rachel-maddow/tom-cotton-has-been-an-absolute-champion-of-the-idea-of-getting-rid/) [Rachel Maddow](https://sms4smile.com/quotes/author/rachel-maddow/) > [Building great public schools and universities, a strong health care system, including keeping the Affordable Care Act, and then an economy that works well…](https://sms4smile.com/quotes/joaquin-castro/building-great-public-schools-and-universities-a-strong-health-care/) [Joaquin Castro](https://sms4smile.com/quotes/author/joaquin-castro/) ## More by Tim Kaine > [People will pay a price for putting political obstruction over progress in a time that is so critical and urgent.](https://sms4smile.com/quotes/tim-kaine/people-will-pay-a-price-for-putting-political-obstruction-over/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [You build the bonds through the community and police force, build bonds of understanding, and then when people feel comfortable in their communities, that…](https://sms4smile.com/quotes/tim-kaine/you-build-the-bonds-through-the-community-and-police-force-build/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [My sense is, as governor I've gotten a lot of stuff done.](https://sms4smile.com/quotes/tim-kaine/my-sense-is-as-governor-i-ve-gotten-a-lot-of-stuff-done/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [I will always be a partner with the president of the United States.](https://sms4smile.com/quotes/tim-kaine/i-will-always-be-a-partner-with-the-president-of-the-united-states/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [ This is one where you can just kind of go to the tape on it. But Governor \[Mike\] Pence said inarguably Vladimir Putin is… ](https://sms4smile.com/quotes/tim-kaine/this-is-one-where-you-can-just-kind-of-go-to-the-tape-on-it-but/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [America should really wonder about a President Trump, who had a campaign manager with ties to Putin, pro-putin elements in the Ukraine who had…](https://sms4smile.com/quotes/tim-kaine/america-should-really-wonder-about-a-president-trump-who-had-a/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [Bill of Rights was Madison, I'm going with Madison.](https://sms4smile.com/quotes/tim-kaine/bill-of-rights-was-madison-i-m-going-with-madison/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [No bill works if it doesn't work in a zip code where somebody lives.](https://sms4smile.com/quotes/tim-kaine/no-bill-works-if-it-doesn-t-work-in-a-zip-code-where-somebody-lives/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [The Trump campaign management team had to be fired a month or so ago because of those shadowy connections with pro-Putin forces. Governor Pence…](https://sms4smile.com/quotes/tim-kaine/the-trump-campaign-management-team-had-to-be-fired-a-month-or-so-ago/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [The permanent institutional expertise class is now no longer the legislators, it's the lobbyists who don't have term limits and are there forever.](https://sms4smile.com/quotes/tim-kaine/the-permanent-institutional-expertise-class-is-now-no-longer-the/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [You know, boy, America is a closely divided country.](https://sms4smile.com/quotes/tim-kaine/you-know-boy-america-is-a-closely-divided-country/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [If you don't know the difference between dictatorship and leadership then you got to go back to a fifth grade civics class.](https://sms4smile.com/quotes/tim-kaine/if-you-don-t-know-the-difference-between-dictatorship-and-leadership/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [I just want to serve people. I know it sounds like a simple cliche.](https://sms4smile.com/quotes/tim-kaine/i-just-want-to-serve-people-i-know-it-sounds-like-a-simple-cliche/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [I am deeply worried about Donald Trump on matters of national security. He doesn't know anything himself about it, and he has appointed a…](https://sms4smile.com/quotes/tim-kaine/i-am-deeply-worried-about-donald-trump-on-matters-of-national/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) > [I say we are climbing out of a ditch and we are climbing up.](https://sms4smile.com/quotes/tim-kaine/i-say-we-are-climbing-out-of-a-ditch-and-we-are-climbing-up/) [Tim Kaine](https://sms4smile.com/quotes/author/tim-kaine/) [Explore all 198 Tim Kaine quotes ](https://sms4smile.com/quotes/author/tim-kaine/) ## More Affordable quotes > [At LearnVest, we're working to make financial planning both accessible and affordable so that everyone has the opportunity to get on track financially.](https://sms4smile.com/quotes/alexa-von-tobel/at-learnvest-we-re-working-to-make-financial-planning-both-accessible/) [Alexa Von Tobel](https://sms4smile.com/quotes/author/alexa-von-tobel/) > [Along with a livable wage, many parents are desperate for quality affordable child care.](https://sms4smile.com/quotes/kirsten-gillibrand/along-with-a-livable-wage-many-parents-are-desperate-for-quality/) [Kirsten Gillibrand](https://sms4smile.com/quotes/author/kirsten-gillibrand/) > [Building great public schools and universities, a strong health care system, including keeping the Affordable Care Act, and then an economy that works well…](https://sms4smile.com/quotes/joaquin-castro/building-great-public-schools-and-universities-a-strong-health-care/) [Joaquin Castro](https://sms4smile.com/quotes/author/joaquin-castro/) > [ Senator \[Tom\] Cotton has campaigned on wanting to kill Obamacare. He voted to repeal the Affordable Care Act back in January, but he now… ](https://sms4smile.com/quotes/rachel-maddow/senator-tom-cotton-has-campaigned-on-wanting-to-kill-obamacare-he/) [Rachel Maddow](https://sms4smile.com/quotes/author/rachel-maddow/) > [To protect our country's economic future and the health and well being of all Americans, we must find a way to rein in out-of-control…](https://sms4smile.com/quotes/michael-bennet/to-protect-our-country-s-economic-future-and-the-health-and-well/) [Michael Bennet](https://sms4smile.com/quotes/author/michael-bennet/) > [To the millions of Americans whove attempted to use HealthCare.gov to shop and enroll in health-care coverage, I want to apologize to you that…](https://sms4smile.com/quotes/marilyn-tavenner/to-the-millions-of-americans-whove-attempted-to-use-healthcare-gov-to/) Marilyn Tavenner > [ \[Tom Cotton\] has been an absolute champion of the idea of getting rid of Obamacare, scrapping the Affordable Care Act. ](https://sms4smile.com/quotes/rachel-maddow/tom-cotton-has-been-an-absolute-champion-of-the-idea-of-getting-rid/) [Rachel Maddow](https://sms4smile.com/quotes/author/rachel-maddow/) > [My biggest fear, that 27 percent of Americans under 65 have an existing health condition that, without the protections of the Affordable Care Act,…](https://sms4smile.com/quotes/atul-gawande/my-biggest-fear-that-27-percent-of-americans-under-65-have-an/) [Atul Gawande](https://sms4smile.com/quotes/author/atul-gawande/) > [The White House approved an exemption in Obamacare coverage for Congress and members of their staff. Members complained that the Affordable Care Act will…](https://sms4smile.com/quotes/jay-leno/the-white-house-approved-an-exemption-in-obamacare-coverage-for/) [Jay Leno](https://sms4smile.com/quotes/author/jay-leno/) > [The people who are working, paying their taxes are put into the system so that affordable housing could be built in neighborhoods that they…](https://sms4smile.com/quotes/eric-bolling/the-people-who-are-working-paying-their-taxes-are-put-into-the-system/) [Eric Bolling](https://sms4smile.com/quotes/author/eric-bolling/) > [There's a major underlying idea as you grow up that you need to just save your money and get that affordable housing at the…](https://sms4smile.com/quotes/conor-oberst/there-s-a-major-underlying-idea-as-you-grow-up-that-you-need-to-just/) [Conor Oberst](https://sms4smile.com/quotes/author/conor-oberst/) > [Whatever it is that you're successful at, that has to be the No. 1 goal. In my case, it's accessibility. So all of my…](https://sms4smile.com/quotes/rachael-ray/whatever-it-is-that-you-re-successful-at-that-has-to-be-the-no-1-goal/) [Rachael Ray](https://sms4smile.com/quotes/author/rachael-ray/) > [The smart way to improve broadband is not to junk the existing network but to make the most of it. It’s to let a…](https://sms4smile.com/quotes/tony-abbott/the-smart-way-to-improve-broadband-is-not-to-junk-the-existing/) [Tony Abbott](https://sms4smile.com/quotes/author/tony-abbott/) > [So much for Obama's promise of 'quality, affordable health care.'](https://sms4smile.com/quotes/deroy-murdock/so-much-for-obama-s-promise-of-quality-affordable-health-care/) Deroy Murdock > [The Affordable Care Act has been designed to provide health security by driving competition, lowering premiums, and protecting families.](https://sms4smile.com/quotes/charles-b-rangel/the-affordable-care-act-has-been-designed-to-provide-health-security/) [Charles B. Rangel](https://sms4smile.com/quotes/author/charles-b-rangel/) Browse all 436 Affordable quotes ```json { "@context": "https://schema.org", "@graph": [ { "@type": "Quotation", "text": "What the Affordable Care Act started was a change in the American health care system from paying for procedures to paying for outcomes, paying for health. Other nations have already made that move. 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