Challenges Faced By The County 's Healthcare Delivery

Rising health care costs became an issue after the Medicare and Medicaid programs were formed in 1965 and have continued to be a factor in the United States economy since then. “By1970, U.S. government expenditures for health care services and supplies had grown by 140%, from $7.9 billion to $18.9 billion.”() By the 1990s the annual increase in the government health care expenditures was finally brought under control and has fluctuated between a 5% and 8% increase each year since then. This essay will discuss the different factors contributing to the rising costs of health care in the United States, as well as how the cost of health care affects the accessibility and quality of medical care throughout American history.

This case study is based on the Metrolina Health Center, which was started by Dr. Charles Warren. Williams and several medical colleagues with a $25,000 grant typically from the Department of Health and Human Services. Dr. Williams is the first African American to have services on this category of staff; Charlotte’s Memorial Hospital, which is undoubtedly the Charlotte’s largest hospital. The main concern of Dr. Williams is the health care needs of poor people in the area. He had always focused on making the word a better place, especially for the people who feel less fortunate. The doctor also went ahead with enlisting the aid of a local dentist, Dr. John murphy among other professionals including the director of the Sickle

Many of the individuals who live within these communities are elderly, immigrants, farmers and migrants. They work and live off their land and lack the needed funds to purchase health insurance, because it is not affordable and they do not have transportation or a way of getting on bus routes, because they live so far out. The nearest local hospital is about 50 miles away and if they get seriously injured they must wait for an ambulance or life flight to arrive with an additional ride of about an hour before they receive adequate care in case of an emergency.

Throughout the early 1980’s and 1990’s the Federal Medicaid program was challenged by rapidly rising Medicaid program costs and an increasing number of uninsured population. One of the primary reasons for the overall increase in healthcare costs is the

The Impact of the Affordable Care Act on North Carolina’s Uninsured Population The Affordable Care Act (ACA) 2010 is one of the most radical healthcare moves in legislation of United States after Medicare and Medicaid. The main goals of ACA were to decrease the number of uninsured and provide cost-effective high-quality care to all in US. According to Kaiser Family Foundation, the potential plan of ACA was to expand coverage to 47 million nonelderly uninsured in the nation, which included 1.6 million uninsured North Carolinians (2014). The purpose of this paper is to review the effect of ACA on the North Carolina uninsured population, the influence of the economy of care provided care and the ethical implications.

North Carolina is aware that there will be a shortage of medical personnel’s with this demand. They have to find the funds to educate and have enough health care providers to ensure that the workforce is available to meet the state’s demand of insured people. The health care

One of the most controversial issues in politics today is healthcare, specifically ObamaCare, also known as Affordable Care Act (ACA), which has effectively insured millions of low-income American households. Under the ObamaCare, Medicaid has been expanded to states that want to participate. It plays an exceptionally crucial role in the healthcare coverage, and access for rural communities as they are more likely to “be poorer, less likely to have insurance, and less intense users of medical services overall” (Richards et al., 2016, p. 573). A study conducted by the Health Services Research found that Medicaid patients received appointments nearly 80% of the time in rural areas, but only 60% in nonrural areas (Richards et al., 2016, p. 570).

There are providers, of public hospitals community and rural health centers, and local health department considered to be safety net providers that service the uninsured. But the result of increased demand has caused limited capacity and decreased treatment options due to eroding finances (KFF, 2013). In order to improve the well beings of Americans, it is imperative to establish a health care policy that will deliver comprehensive coverage for all.

In the current U.S. system the free market prevails and companies, in this case, major insurance providers “compete” for business. This competitive business approach should in theory drive costs down. For some reason, however, an argument can be made that it has produced the opposite result in profiteering. The nation’s largest insurer, UnitedHealth, boasted over a 10 percent revenue increase in 2013 according to Forbes (2013). Health insurance affordability contributes to the disparity in access to health care, as evidenced by the fact that there are millions that are still uncovered. A greater majority of certain minorities lack both health insurance and the financial resource to seek out either health care or insurance. While insurance companies reap huge profits the percent of private sector companies offering health insurance has dropped to less than 50 percent (Kaiser, 2013). There is decidedly a lack of coordination of care for this at risk population as well, since treatment is rendered sporadically and with continuously changing providers. The last major challenge is that of improving the quality of health care. According to a 2010 report by the U.S. Department of Health and Human Services, Office of Inspector General (OIG), an estimated 13.5 percent of Medicare beneficiaries experienced adverse events during their hospital stay and an additional 13.5 percent experienced a temporary

This paper will discuss the early years and failed efforts that transformed the Medicaid program into what is seen today. A comparison between Medicaid and Medicare will be brief but is necessary because there are significant and critical differences between these government-funded insurance options. The substantial growth of Medicaid expenditures and beneficiaries are important and these trends will be looked at in detail. There have been provisions related to the unanticipated expansion of this program which will be reviewed. Attempts to expand Medicaid eligibility further need to be addressed (example: Patient Protection and Affordable Care Act). Stigmas that are associated with receiving Medicaid will be reviewed. I will share my

Within the United States some populations groups face greater challenges then the general public with being able to access needed health care services in a timely fashion. These populations are at a greater risk for poor physical, psychological, and social health. The correct term would be underserved populations or medically disadvantaged. They are at a disadvantaged for many reason such as socioeconomic status, health, and geographic conditions. Within these groups are the racial and ethnic minorities, uninsured children, women, rural area residents, mentally ill, chronic illness and the disabled. These groups experience greater barriers in access to care, financing of care, and cultural acceptance. Addressing these

Grace Pettigrew, my mother who is 67 years old received a $1,101.00 pension check once a month with no other income or assistance from the governments’ states that she is unable to afford health care insurance and that she over qualify for government assistance. The Medicare plan is expensive and would leave Grace short on bills or food. Therefore, my mother rely she said on community based services at a hospital in Georgia name Grady Memorial Hospital Grace (2012). The reduce plan for the hospital card is based on her income and charges he $20.00 for office visits with no deductibles to meet and three dollars for her medication. Grace (2012) describe her experience with health care services and providers as being good and because this is all she can afford that there are no complaints except for she would like to go to doctors of her choice. Unfortunately, this is not an advantage because no other doctors are willing to take on patients who do not have insurance coverage. Grace (2012) states that she has never seen so many medical offices and that there are hospitals in every neighborhood. My mother is not sure how these facilities make their money where there are so many people without jobs or insurance. According to my mom Grace (2012), People would have to call and maybe wait days for a doctor to make it to your home if there were an emergency but not

This paper provides an overview of the healthcare environment and its financing in the U.S. and define acute care and long term care. It addresses three important issues. First, it provides a snapshot of how health care is currently financed in the United States, including the differences and/or similarities between Managed Care Organizations. The second part of the paper examines the current federal government programs and various types of access to health care available to every citizen. The third part of paper examines the implications nurses have in

US health care expenditures have been rising quickly over the past few years; it has risen more than the national financial system. Nonetheless a number of citizens in the US still lack appropriate health care. If the truth be told, health care expenditures are going to continue to increase; in addition numerous individuals will possibly have to make difficult choices pertaining to their health care. Our health system has grave problems that require reform, through reforming, there is optimism that there will be an increase in affordable health care and high-quality of care for America. Medicaid, Medicare and private sector insurances are all going through trials and tribulations because of

Have you ever wondered exactly what the government does for our country in regards to health care? Many have the impression that the government is not really of much assistance to them. However, in reality, the government does more than most people realize. The government actually plays a vital role in health care but most people look past it. I am sure very few people have actually sat down and pondered or even have done research to find out the impact of the government’s role in health care. However, I intend to clear up this misconception. The federal and state governments are the largest supporters of health care services in the United States. Examples of support that our government provides include assisting those