Case 4.2 Licensing and Laissez Faire Essay

Anderson, Amy. “The Impact of the Affordable Care Act on the Health Care Workforce.” The Heritage Foundation. N.p., n.d. Web. 14 July 2015. This paper is a through report on the impact of the ACA on the workers in healthcare, particularly on the ratio of worker to patients. It shows that the act will increase the physician shortage, particularly in already underserved areas and specialties. It will also greatly increase the stress on workers, due to the increase demand from each physician or nurse and the increased amount of regulatory paperwork required. Many healthcare providers are merging into larger business to cut costs; others are running cash-only or annual-fee models. The act attempts to transition to paying physicians for performance

After years of schooling and hundreds of thousands of dollars in debt, doctors aren’t even able to work on their own terms. “Consumers allegedly have a “right” to what health care providers provide, a “right” to say what will be provided, when, and at what price” (Salsman 2012). Consumers shouldn’t have a “right” to what is provided to them or how much it costs. The government controls pricing and controls who can receive care and what kind. It’s not right that those who are actually working in the medical profession that they have lost control of their businesses.

All healthcare systems, regardless of funding mechanisms, ration the limited resources of health care to some degree (Petrou & Wolstenholme, 2000). Even setting limits on patient choice is a form of rationing that takes place in almost all countries’ health systems (Lauridsen, Norup & Rossel, 2007). In the United States, health care is rationed according to free market principles while other countries employ other means such as long wait times for non-acute conditions or delays in the

The aim of the ACA is to provide affordable health care to all Americans, but it still leaves some issues unaddressed that will impact the access to health care. Covino (n.d.), “Though the intentions of the legislation are good, the Affordable Care Act does little to improve the actual health care delivery system” (para.1, page 2). According to the American Medical Association, we are facing an increasing Physician shortage. As of 2010 we faced a shortfall of 13,700 physicians, the estimate is that number will increase to 62,900 by 2015, 91,500 by 2020, and 130,600 by 2025 (Krupa, n.d.), with primary care taking the largest impact. Health Care coverage will be of no benefit if there are no doctors to treat the patients. An example of this occurred in 2002 when Thailand’s’ “30 Bhat Scheme” added (CNN n.d.) “14 million people to the country’s health care system, resulting in long waits and subpar service” (Your health is covered, but who is going to treat you?) Several factors contribute to the physician shortage. Many physicians are reaching the age of retirement, the Association of American Medical Colleges estimates nearly 15 million physicians will be eligible for Medicare in the coming years (CNN n.d.). The increasing cost of malpractice insurance also deters many from pursuing a career in medicine, and is forcing some doctors to retire. Also contributing to the physician shortage is a lack of spots in residency programs. “In 2011, more than 7,000 were left

It is commonly believed that the method of physician remunerations affects their professional behavior. As a result, payment systems are therefore manipulated in attempts to achieve policy objectives with the primary aim to improve quality of care, contain cost and maintain recruitment of human resources in underserved areas. (2,1)

The new federal health-care law has raised the stakes for hospitals and schools already struggling to train more doctors. Evidence suggests there won’t be enough number of doctors to treat the newly insured millions under the ACA. At current graduation and training rates, America faces a shortage of as many as 150,000 doctors in the next 15 years, according to the Association of American Medical Colleges. The greatest demand will be for primary-care physicians. Emergency rooms, the only choice for patients who can't find care elsewhere, may grow even more with longer wait times under the new health law. That might come as a surprise to those who thought getting 32 million more people covered by health insurance would ease ER

Bernstein is very familiar with medical and healthcare terminology, much more so than the average person; however, his language is familiar enough for an educated reader to follow along. With his experience as a blogger, he uses casual language to explain the economic side of the doctor shortage. Bernstein addresses, “The organization called on Congress to raise the federal cap on slots for medical residents at teaching hospitals by 3,000 annually, at a cost it estimated would be about $1 billion per year.” Most people don’t know what a medical residency is and how it works, but Bernstein’s language indicates that a residency, which is a part of a physician’s training, involves the government’s money and the limited number of slots at a hospital. This helps the reader better understand that job and educational opportunities are still limited for doctors, thus contributing to a doctor shortage. The use of diction helps Bernstein effectively explain the economic side of the anticipated

Expansion of Physician Assistant (PA) programs across the United States occurred rapidly during the 1970s following the introduction of the profession in the 1960s. According to Hooker et al. (2010), the first era of the development of PA programs was followed by a decline in the 1980s. This was due in large part to a belief by the Graduate Medical Education Advisory Committee that there would be a surplus of physicians in the 1990s. Contrarily, there was a still a large discrepancy in the number of accessible providers and providers themselves which continues to this day. Many saw the cost effective advantage of training PAs and seized the opportunity

One class of American citizens view on the Patient Protection and Affordable Care Act is doctors, and it is very negative. Third-party payment plans already hinder the independence and integrity of the medical field. This act now will reinforce the worst of these features. Physicians will fall prey to more government regulation and oversight, and will now be increasingly dependent on a not to reliable government reimbursement for their services. A doctors job will only be become more difficult.

The Obamacare/ACA, might have helped numerous of individuals in acquiring health care, but the health professionals are facing a shortage of reimbursement difference for their services. As a result, Hospitals and healthcare providers were force to layoff personal and come up with innovative solutions. This point is proven by the renowned author, Amy Anderson by stating as follows: “The American health care framework has had shortages of personnel for quite some time and would not be prepared to give the adequate service to this amount of patients in need of medical attention. Training new professional health services personnel could take years. There is a shortage of graduates from medical and nursing schools. Doctors, nurses and health professional are sharing responsibilities prospective patients will face a longer wait time”. (Anderson, 2014)

This saves money from the hours that used to do paper work. at the same time, with more people gaining insurance negates the need for charitable donation, which would then become an area of lost income for either hospitals or doctors, which would then nullify the benefits gained from the lessened paper work. Another large issue that the AMA found is the banning of most new physician hospitals, private owners can start new hospitals if they are primary providers of Medicaid (AMA). Another interest group, National Physician Alliance, discusses other policy changes, such as the increased number of recipients, meaning that there are more people that will see doctors. With this, doctors will have increased financial security, in tandem with the added benefit of a 10% bonus payment for primary care services and general surgeons. The ACA also aids in the shortage of doctors and nurses by providing myriad scholarships and grants (NPA). all of these policies in effect would benefit doctors in

The Affordable Care Act set forth millions of dollars to address the problems and concerns that are associated with existing physicians shortages. The Affordable Care Act also has provisions that are aimed to improve the education, ongoing training as well as to help with the recruitment of nursing, physicians, doctors as well as other health care personnel. In addition, there are provisions in place that help to increase workforces’ cultural competency, enhance faculty training of healthcare professionals, and diversity. The provisions also play a vital role because of the fact they are put into place to examine innovative reimbursement and care delivery models that highlight primary care services value and offer in improvement in the patient care coordination.

Block, W. (2008). Is there a human right to medical insurance?. Business & Professional Ethics Journal, 27(1/4), 1-33. Retrieved from http://secure.pdcnet.org.ezproxy.liberty.edu:2048/pdc/bvdb.nsf/toc?openform&journal=pdc_bpej&yearrange=1999 –2009&category=0027_40182_2008

Rescission is an impressive term to describe the health care problem in the U.S. Many insurance companies tend to looking for the reasons to cancel coverage after a person gets sick. The difficulty is that people are overwhelmed with the long list of question and information before registration or treatment. That small mistakes or lack information is hard to avoid will be the reason for rescission. The film shows that insurance company have thousands of reasons to refuse to provide coverage. The medical issues can be explained by the features of capitalism in the United States. Capitalism is considered as an economic system based on production for profit. While patients in Canada, England, and France receive free health care and many free services from the government, people living in the United States has to pay a lot money for those services from their pockets.

The number of physicians in the country has been decreasing at such a great rate that the government and other stakeholders in the health care sector are trying to camouflage this by increasing the number of foreign doctors practicing in the country. The American Medical Association has been trying to promote these re-entry programs designed for physicians since the year 2009 to help curb this problem. There are many people who can see what the problem is, but it is not possible for them to do much about it. Physicians also see this problem, and they are well aware of why the shortage is arising, but they are also unable to do much to prevent the issue. There are many problems that lead to the shortage of physicians, and unless something is done, it will continue escalating ADDIN EN.CITE Lynch19721573(Lynch, 1972)1573157317Lynch, MichaelThe Physician "Shortage": The Economists' MirrorAnnals of the American Academy of Political and Social ScienceAnnals of the American Academy of Political and Social Science82-88399ArticleType: research-article / Issue Title: The Nation's Health: Some Issues / Full publication date: Jan., 1972 / Copyright © 1972 American Academy of Political and Social Science1972Sage Publications, Inc. in association with the American Academy of Political and Social Science00027162http://www.jstor.org/stable/1040122( HYPERLINK l "_ENREF_6" o "Lynch, 1972 #1573" Lynch, 1972).