Economic, Cultural And Societal Values Have Shaped And Are Shaping Health Care Delivery

Introduction: Cultures, social, ethnicity, English proficiency are factors that my significantly affect the quality of healthcare. Patient’s perspective, values, beliefs and behavior are highly influenced by the sociocultural background pf the patient (1-5). These factors can affect dealing with patient’s symptoms, seeking care, pain toleration, care adherence, preventive measure, and health care expectations.

The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care (2009) by T.R. Reid describes four different

Before the PPACA in 2010, Medicaid programs reimbursed 65 cents for every dollar charged. With the PPACA in place, Medicaid covers individuals up to 133% of the federal poverty level. The mandatory Medicaid income eligibility for children will increase from 100% to 133% of the federal poverty level. At the state level, benefits can be expanded to persons with higher incomes. Those that receive benefits through Medicaid cannot accept benefits through the exchange programs. The hospital will have the option to increase

Medicaid is a social health care program that covers nearly 60 million Americans, including children, pregnant women, seniors, parents and individuals suffering with disabilities. Medicaid is the biggest source of funding for health related services and medical needs for the people with low income in the United States. This program is funded jointly by the state and federal level governments, but it is the state’s responsibility to manage this program. The Medicaid program is not a required program that states have to use, but all 50 states have implemented this program. With the introduction of the Affordable Care Act (ACA), and its passing in 2010, the ACA unveiled its plans to expand Medicaid eligibility to nearly all low-income adults as an addition to the other groups that fall into the Medicaid eligibility. The Medicaid program had “many gaps in coverage for adults” because it was only restricted to the low income individuals and other people with needs in their own specific category. In the past, the majority of the states who had adults that did not have children dependent on those parents were not eligible for Medicaid. These low income adults without dependent children would be without medical insurance assistance before the ACA was introduced. Medicaid is now available to all Americans under the age of 65 whose family income is at or below the federal poverty guideline of “133 percent or $14,484 for an individual and $29,726 for a family of four in 2011” (NSCL).

In 1993 First lady Hillary Clinton was assigned to a proposal to reform healthcare with the goal to become universal by US president Bill Clinton, this reform was titled Task Force on National Health Care Reform (Boundless, n.d.). At that time, 37 million Americans did not have health insurance and the cost to obtain health insurance was very unaffordable to the middle class (Boundless, n.d.). The main purpose of this reform was to mandate employers to provide health coverage to all employees HMOs’. However, this reform was aggressively opposed by the health insurance industry, libertarians, and conservative republicans stating that it was restrictive to the employees choice (Boundless, n.d.). Additionally, they argued that the proposal a

The New York Times printed an article by Robert Pear, which reported that on December 24, 2009, the US senate passed the first bill, which would call for major reform regarding health care in the United States (Pear). The article titled “Senate Passes Health Care Overhaul on Party-Line Vote,” discusses the fact that while this step was a major milestone in the process of providing Americans with affordable heath care, it was not the end of the road. Over the coming months and years there would be a lot of give and take between democrats and republicans to revise the bill to the point where both sides could support it. One of the major points in this reform is that the US government was now going to offer affordable plans including subsidy options which would allow more Americans affordable options which were

Long before the 1990s when Ms. Clinton fought for a Universal Healthcare system in America, the issue of America’s healthcare had been a political quandary. The enactment of the Republican administration’s Health Management Organization Act of 1973 was a weapon meant to address that crisis, yet, it did little to fix the problem. While the liberal Democrats are fighting for Universal Healthcare coverage for all Americans, the conservative Republicans are fighting to maintain the current private health insurance, however, with some revamping of the system, which preserves the capitalistic element of the status quo. The reason for the two opposing views stems from their differences in political ideologies, which theoretically is like pitting socialism against capitalism. While the liberal Democrats’ endorsement of Universal Healthcare system is socialistic in practice, the conservative Republicans’ fight to retain the private or market based plan is unarguably in support of their pro-capitalism stance. The truth, however, is that, though almost every American believes in capitalism, yet, almost none would vote to disband the Medicare and the Medicaid programs, both of which are socialistic. In that light, the argument of a pro-capitalist nation is negated, as we do already have a socialized healthcare program for the seniors and the poor. Extending that concept to include

In recent years, health care has been a huge topic in public debates, legislations, and even in deciding who will become the next president. There have been many acts, legislations, and debates on what the country has to do in regards to health care. According to University of Phoenix Read Me First HCS/235 (n.d.), “How health care is financed influences access to health care, how health care is delivered, the quality of health care provided, and its cost”.

The paper is broken up in to three sections. In section one, we will discuss the problems with the American Healthcare system and we will try and clear up some of the often misrepresented facts about the healthcare problems and solutions to fix them. In section two, we will present some of the solutions being put forward to fix the healthcare system, including plans by both Presidential Candidates

The health care reform debate between 2008 and 2010 led to the passage of Patient Protection and Affordable Act. It was reminiscent of opportunities for reform that have occurred on a cyclical basis throughout American history. These opportunities occurred most notably in the presidential administrations of Franklin Roosevelt, Harry S. Truman, John F. Kennedy, Lyndon B. Johnson, Richard Nixon, and William J. Clinton. (Rich, Cheung, Lurvey, 79). We have to look at recent opportunities that have expanded today.

U.S. health care reform is currently one of the most heavily discussed topics in health discourse and politics. After former President Clinton’s failed attempt at health care reform in the mid-1990s, the Bush administration showed no serious efforts at achieving universal health coverage for the millions of uninsured Americans. With Barack Obama as the current U.S. President, health care reform is once again a top priority. President Obama has made a promise to “provide affordable, comprehensive, and portable health coverage for all Americans…” by the end of his first term (Barackobama.com). The heated debate between the two major political parties over health care reform revolves around how to pay for it and more importantly, whether it

“We will pass reform that lowers cost, promotes choice, and provides coverage that every American can count on. And we will do it this year.” The preceding is a powerful statement from the newly elected President Barak Obama. One of the main aspects of both political campaigns was health care reform. The above quote shows passion and encouragement, but the quotes about health care do not end there. Georgian republican gubernatorial candidate and health care policy maker John Oxendine expressed: “Their proposal would virtually devastate the private healthcare sector in this country along with competition and patient choice, by replacing it with bureaucratic planning and government control. The result of this plan and its one trillion

The main historical developments that have shaped the health care delivery system in the United States. Knowledge of the history of health care is essential for understanding the main characteristics of the system as it exists today. For example, the system’s historical foundations explain why health care delivery in the United States has been resistant to national health insurance, which has been adopted by Canada and most European nations. Traditionally held American cultural beliefs and values, technological advances, social changes, economic constraints, and political

The Patient Protection and Affordable Care Act (PPACA), commonly called Obama care, is a United States federal statute signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act, it represents the most significant government expansion and regulatory overhaul of the U.S. healthcare system since the passage of Medicare and Medicaid in 1965. Guaranteed issue will require policies to be issued regardless of any medical condition, and partial community rating will require insurers to offer the same premium to all applicants of the same age and geographical location without regard to gender or most pre-existing conditions. It requires that all individuals not covered by an employer sponsored health plan, Medicaid, Medicare or other public insurance programs, secure an approved private-insurance policy or pay a penalty. According to this system, a child would stay under their parents insurance until they turn twenty-six. The non-participating employers/ citizens, health

In this paper I will provide my understanding on why I feel Clinton’s Health Plan was unsuccessful. I will discuss the features of Clinton’s health care reform plan and provide my reasons I feel it failed. I will also discuss the influences of the various interests groups and governmental entities that were present during this process. Lastly I will discuss the policy process and policy environment key players that were involved and the other circumstances that shaped this policy-making effort.