Healthy World, Healthy Nation, Healthy You

The Affordable Care Act–Will it Really Make Health Care Affordable? Access

Rosemary Gibson
Senior Advisor to the Hasting Center
Garrison NY


RosemaryRosemary Gibson is Senior Advisor to the Hasting Center and an editor for JAMA Internal Medicine. She is a leading authority on health care in the United States.

At the Robert Wood Johnson Foundation in Princeton, NJ, she led national health care quality and safety initiatives for 16 years.  She was chief architect of the foundation’s decade long strategy that successfully established palliative care in more than 1600 hospitals in the U.S. She is the recipient of the Lifetime Achievement Award from the American Academy of Hospice and Palliative Medicine.

Rosemary worked with Bill Moyers and Public Affairs Television on the PBS documentary, “On Our Own Terms,” which showed to more than 20 million viewers how the U.S. health care system can better care for seriously ill patients and their families.
She initiated a series in the Journal of the American Medical Association, “Perspectives on Care at the Close of Life.”

She is a member of the American Board of Medical Specialties Public Policy Committee and the Accreditation Council for Graduate Medical Education CLER Evaluation Committee that is assessing quality and patient safety in sponsoring institutions for residency training.  She is a member of Consumers Union Safe Patient Project.

Rosemary is principal author of the critically acclaimed book, Wall of Silence, which tells the human story behind the Institute of Medicine report, To Err is Human. She wrote The Treatment Trap which puts a human face on overtreatment.  The Battle Over Health Care: What Obama’s Health Care Reform Means for America’s Future, is a non-partisan analysis of the future state of health care and its impact on the economy. Medicare Meltdown examines the business of Medicare and its impact on the fiscal challenges facing the federal program for older Americans.

Her books have been reviewed in Publishers Weekly, Washington Post, Journal of the American Medical Association, and Health Affairs; referenced in proceedings of the U.S. Senate; mentioned in Congressional testimony; noted in The Wall Street Journal and the Boston Globe; and highlighted in the anniversary issue of O Magazine.  Rosemary has appeared on The Doctors, Chicago Tonight, WBGH’s Greater Boston, and C-Span Book TV.
Rosemary is a graduate of Georgetown University and has a master’s degree from the London School of Economics.

Books Published:

  1. Wall of Silence (2003), the first book to put a human face on medical errors. Here is a link:
  2. Treatment Trap (2010).  Many errors occur in the course of unnecessary treatment.  Overuse has become worse in recent years and there is nothing to stop it.  There is a reason for it: every system is designed to achieve the results it gets.
  3. Battle Over Health Care: What Obama’s Reform Means for America’s Future. (2012)  The reform law is doing many noble things. But there are still no controls on how much health care is eating into the fabric of our economy.  The book traces parallels between the banks and the health care industry: price bubbles, toxic assets, too big to fail, privatized gains and socialized losses.
  4. Medicare Meltdown: How Wall Street and Washington are Ruining Medicare and How to Fix it. (2013)


A key objective of, Dr Nancy RN, is to translate Health Care Reform for people. In our discussion with Rosemary Gibson we are taking a step beyond the political rhetoric that has been swirling around for years about how the policies of Affordable Care Act will change health care.  Instead of arguing the merits one way or the other, we are looking at the facts involved with the changes that are taking place in HC and providing information to help you make the decisions for your own care that will work best for you.

3 Key Points:

  1. What problems did health care reform really try to address?
  2. Will people be able to find a doctor or other licensed provider such as a NP or PA once they have an insurance card and what does that mean for primary care in the US??
  3. How viewers can be smart when using the health care system.

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