“The Uninsured Population”
Group Refection #1
By: Calamity Jane Coley
Brooke Dixon
Ini Aquaisua
Leann Beydoun
Group #16
PPR 6151 INTRODUCTION TO PHARMACY IN THE HEALTHCARE SYSTEM
Dr. Regina Washington
July 9, 2015
Background
Health service system as defined by "Roemer" in the text is the pooling of resources, organizations, financing, and management that aggregates to the delivery of health services to the needs of a population (Barton, 2010, p. 3).
Demographics
Health service in most cases is crafted by the economic and social values systems of each respective country. It contributes to a country’s economic GDP (gross domestic product), by creating various areas of employment opportunities, examples including and not limited to the delivery of medical services, research and development of new drugs for the treatment of various ailments, insurance services to name a few (Barton, 2010, p. 3).
Statistics
As stated in the text, the United States provides a market based health system. Not until recently, the majority of the population could only access the insurance market through an employer based system. The ability to acquire insurance or gain access into the market outside of this medium was, in most cases, exorbitant for the average citizen. Nevertheless, government assistance programs like Medicare and Medicaid were made available to certain demographics of the population who qualified for these programs, such as citizens from the age
A Health care system of any country is an important consideration for the purposes of the overall development. One of the most important and essential feature of the human body is the health and the systems. In the same manner, proper management is also necessary. Furthermore, all the countries of the world have few targets and achievements to be made. On the other hand, it should also be noted down that, economic development and social welfare the two most are the two important factors. Economic welfare is connected with the increase in the wealth of the people at large (Niles, 2011).
The perspective I have about the recent efforts to help the uninsured in the U.S is it has come a long way towards positive change since the 1950’s till now. The Patient Protection and Affordable Care Act of 2010 (ACA)/ Obama Care, has provided the uninsured with medical insurance and access to reduce the risk of health issue through prevention. The law expands eligibility for public insurance, use of federal subsidies to make private coverage more affordable, new rules on insurers and employers to make coverage more accessible, and require all Americans to have some form of health insurance (Knickman and Kovner, 2015). The outcome of this enactment; 5 million Americans enrolled in state Medicaid programs, 8 million received public subsidies,
Vulnerable populations is a term that creates an image of distinct and narrow-minded minority though the vulnerability of every individual to illness, disease, and injury has made health insurance necessary and probable for a huge portion of the American population. Vulnerable populations in the United States includes parents and children of immigrants, race/ethnic minorities, the disabled poor, the elderly, foster children, families ineligible for welfare, prison inmates and former offenders, children with special care needs, and residents of rural areas. However, the uninsured population has developed to become one of the vulnerable populations in the United States because of the risks and dangers associated with the lack of health insurance. As a result of the increased of the number of the uninsured, they have a huge financial impact on the vulnerable population.
It is estimated the uninsured population will reach as high as twenty-three million people even after the implementation of the ACA. Undocumented migrants and exempted individuals fall under the uninsured population. The exempted individuals are those who will pay higher than “8% of their household incomes on health insurance”; therefore they are not required to adhere to the individual mandate of purchasing health insurance. As a result, other policy interventions are needed if the US seeks to promote universal health insurance coverage. Perhaps the US should consider other countries’ practices as they have tried to deal with undocumented migrants’ health coverage. For instance, in Spain, undocumented migrants can only seek medical treatment for emergency, maternity, and pediatric care. Proving limited care may be a good choice for the remaining uninsured. Also, since the US does have non-profit hospitals, perhaps the undocumented migrants should seek care at those designated hospitals only. In addition, those same options can cross over to the exempted uninsured individuals. However, I feel the exempted individuals would be best served in another way. Perhaps the income qualification guideline for Medicaid should be increased to
The healthcare system of the United States was established as a system of health and welfare programs created to provide affordable treatment to the citizens of the United States. Recently, the Affordable Health Care Act was passed changing the structure of the system (Mulvany, 2012). While in theory the new arrangement works, it has its flaws due to the resulting cost, slowness, and the government interfering with religious and personal beliefs. These problems have led many people to question the role of the government in the life of the individual.
It helped to provide coverage for low income Americans, and to assist them in managing the confusing healthcare industry to obtain the most efficient health care. Although the U.S. government should not interfere with market competition, more can be done to preserve the right of being healthy for every American. Within the Medicare and Medicaid programs, a greater option of choice and wider coverage could help improve the American healthcare industry and overall health of the average American
The impacts of a large portion of the population being uninsured can have an adverse reaction on the population who are insured. Study done by RAND Corporation and a UCLA shows that it hard for insured patients to find a regular source of care, have delay in their care or going care, and less satisfied with their care (Kelly, 2011, Para 2). Furthermore, high rates of uninsured population can also increase rate of acute health conditions and diagnoses. Thus, causing American health care to be more expensive and increase raise in disease, and sickness in the American population. According to Kaiser Family Foundation (2017), “Because people without health coverage are less likely than those with insurance to have regular outpatient care, they
Granting, many Americans have federally imposed health insurance due the Affordable health care act a vast majority are not in possession of all the facts pertaining to the policy stipulations related to how those services are to be dispensed. Subsequently, most are often genuinely, bewildered and confused after multiple attempts to decipher the complexities behind or some might say in front of; just how inaccessible their assured healthcare services have come to
Under a free-market system, health care is characterized in three ways – cost, access, and quality. In the United States, a mixed economic system that favors a free market system, health care is characterized as high cost, low access, and high quality. As such, these dichotomies pose an imperfect, inefficient scenario – the high cost and low access of health care lead people to not purchase insurance, while the high quality of health care drives people to still receive health care services. As a result, millions of Americans are currently uninsured, yet still utilizing various health care services, and are unable to pay their medical bills. This poses yet another conundrum - how can uninsured individuals receive medical care without paying for it? More importantly, who ends up paying for these services? Having recognized this gap between receiving medical care and paying for medical care,
The availability of healthcare is an extremely important issue in the United States. There are millions of Americans that are uninsured in the U.S. A high amount of uninsured people are from minority groups such as Hispanics and African-Americans. High deductible payments, the cost of prescription drugs, and lack of health insurance coverage cause many Americans to choose to live without insurance to save money for everyday expenses beside healthcare. Without health insurance, people do not have access to quality healthcare. Most citizens are aware of the issues in the healthcare system, but the disagreement comes when discussing how the best approach on ameliorating the system. Some believe that a more public and universal healthcare system is the best approach. Others believe that America works best through free enterprise and private institutions, and believe health insurance should be more privatized. However, health care has been shown to work best and be more available through proper public government control as it will allow for all Americans to have access to equal healthcare, in which money does not dictate health.
Doctors deserve credit for doing what they are trained to do, not to mention that most doctors are dedicated to taking care of all American citizens and may be willing to take a pay cut to help insure Americans so they can continue to do the job the
The census data selected was to further evaluate and compare; the uninsured of Santa Cruz, California and Lawrence County, IL.
In America, we not only have the problem of the non-insured but the under insured which causes just about as much problem as the underinsured. Each group has contributed to the vast growing cost of healthcare. Over the last decade or two, the amount of uninsured has risen due to the job market in the economy and the fact that most insurances are tied to employment, which is also a problem as the unemployment rate rises. The purpose of this paper is to explore this issue.
Regarding average population health, it is unclear from the existing literature whether expanding access to health care would have a significant influence. One way to improve access to health care is expanding insurance coverage, but Levy and Meltzer found “very little convincing evidence to demonstrate that having health insurance improves population health on average” (403). However, for some vulnerable subpopulations, there were marked health benefits (406). McKinlay and McKinlay argue that medical care itself accounts for a small part in the decline of mortality in the United States, noting that the “rise in medical care expenditures began when nearly all (92 percent) of the modern decline in mortality this century had already occurred” (414). However, it is important to keep in mind that the McKinlay’s studied the decline of mortality in the twentieth century, and with the elimination of most widespread infectious
A health care system is the association of institutions related to people's health and resources. It delivers health services in order to meet the health needs of the targeted populations (Nigam, 2011). There is a wide variation in the world of how different nations organize their health care systems, with almost all nations having differing health care organizational structures. Planning in some countries for health care distributes to those participating in markets. In other countries, however, planning is as a result of joint efforts between the government, religious bodies, and charities among other groups (Nigam, 2011).