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Difference Between Uninsured And Health Disparities

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The Uninsured and Health Care Access Disparities
The United States is plagued with stark health disparities across its communities (Institute of Medicine, 2013). Defined as the “variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined population groups,” disparities describe the inequality of access to basic health services in America (HSRIC, 2016). Over the past decade, health reform has attempted to address this issue of health inequality by strategizing to insure more people and provide increased access to care.
Why do health disparities matter? From a both a public health and a financial perspective, disparities are costly. When faced with the decision …show more content…

The ACA addresses eight themes: Access; cost control; quality improvement; prevention; workforce; revenue; administrative items; and the CLASS Act (which was eventually repealed) (Emanuel, 205). The “access” section primarily focuses on efforts to cover the 15 percent of uninsured Americans at the time of the ACA’s conception. Part of this included raising the age young adults could be covered by parents’ insurance until the age of 26, which affected three million young adults who otherwise would have been uninsured. The largest chunk of the section, though, was dedicated to transforming Medicaid and establishing web-based marketplaces that would allow people to buy health insurance with government subsidies. By 2014, the ACA established nationwide eligibility standards dictating that American adults under the age of 65 with incomes below 138 percent of the federal poverty level would qualify for Medicaid (Emanuel, 205). Prior to the decision, some states were only providing Medicaid to residents making as little as an abysmal 18 percent of the federal poverty level ($20,090 for a family of three) (Medicaid, …show more content…

In “Medicaid Expansion under the Affordable Care Act,” researchers write:
“Among all the known contributors to health, access to health care plays a minor role. Until the United States definitively addresses inequities in those social and economic domains that are key to health, such as behaviors, education, income, and environment, inequalities in health will persist” (Lyon, et. al, 2014).
Thus, the argument is that wellbeing transcends insurance status; it also includes accessibility to fresh foods, parks to play in, safe sidewalks to walk on, homes to sleep in, and a reasonably low number of circumstantial stressors. The good news in this case is that social determinants of health and the Affordable Care Act are not necessarily mutually exclusive; some organizations have been given the green light to use Medicaid dollars to build housing for homeless populations (Ollove, 2015), and others have found ways to prescribe healthy foods to low-income patients (O’Marra,

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