The Patient Protection and Affordable Care Act (Obamacare) had mame dramatic changes in the field of the health care system, especially in Medicare, that will seriously take effect in American seniors. Indeed, much of the health law’s new spending is financed by spending reductions in the Medicare program. In addition to the provider payment reductions, Obamacare significantly reduces payments to Medicare Advantage (MA) plans by an estimated $156 billion from 2013 to 2022.( Elmendorf, letter to Speaker Boehner). About 27 percent of all Medicare beneficiaries are enrolled in MA plans, a system of regulated and private plans competing against each other as an alternative to traditional Medicare. MA plans are attractive to beneficiaries because they offer more generous and comprehensive coverage than traditional Medicare by capping out-of-pocket costs and offering drug coverage to a rasonable
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
The high dispersion of diabetes, especially through the aging population, comes at a considerable economic cost. Health care expenses for individuals with diabetes are 2.3 times greater than expenses for those without diabetes, and diabetes complications account for a significant amount of those cost.
The rate of diabetes in the United States is one of the highest compared to other developed countries. An estimate of 9.3% of the population have diabetes, of those with diabetes 27.8% have yet to be diagnosed (Centers for Disease Control and Prevention [CDC], 2014). This means that approximately 8.1 million people are currently living with diabetes, but are unaware of it. As of 2012, 12.3% of people with diabetes were 20 years old or older, the largest population diagnosed with diabetes were adults 65 years old or older. 25.9% of this population lives with diabetes (CDC, 2014). On a national level, the CDC have launched initiatives that focus on prevention and disease management. The National Diabetes Prevention Program is an example of one such initiative. This program focuses on lifestyle changes,
Republicans and economist want to privatize Medicare turning it into a voucher-like program that subsidizes purchases of private health insurance. House Republicans have proposed this bill in order to fulfill the GOP goal of balancing the budget in 10 years. Having said that, I can only hypothesize that the amount of capital available to the “new” Medicare population will dwindle and the needs of elderly patients may not be met.
The baby-boomer generation is aging and adding more beneficiaries’ at an increasing rate than ever before and is estimated to impact the federal deficit by over 17% by 2020. Many other countries have National Healthcare that provides better care at a much lower cost. Medicare was the motivation for a universal healthcare plan and a program for the U.S. could have a positive impact. (Starr, 2011).
President Obama’s pledge to pay for the program by taxing the rich, who is anyone that makes more than $1 million a year (which would include President Obama) and will make for “a marketplace that provides choice and competition” (Conniff, 2009). He also proposes that reform is about every American who has ever feared losing their coverage if they become too sick, lose their jobs or even change their jobs. It’s realizing that the biggest force behind our deficit is the growing costs for Medicare and Medicaid programs.”
The Supreme Court 's favorable ruling on the Affordable Health Care Act allowed for healthcare to be available for many Americans who would otherwise not receive medical benefits. This is because it increases the number of people covered by Medicare/Medicaid, and lowers the cost of insurance through employers. While this idea is good in theory, paying for it is a challenge due to the fact that it will only add to the nation’s already enormous debit of several trillion dollars (Mulvany, 2012). From 2010-2019, the United States is predicted to spend around 400 billion dollars on healthcare. This prediction has prompted lawmakers to reduce spending on Medicare, Medicaid and other welfare programs. The spending cuts will result in less people getting the care they need due to the limited availability of money for care and the increase in the number of beneficiaries receiving
Since 1965, Medicare has been attempting to provide low cost, guaranteed access to much needed healthcare for senior citizens over the age of 65 and other age groups that suffer from disabilities and terminal diseases. These people represent some of the most vulnerable population groups in the United States. Most do not work, and rely on Medicare to provide them the access to healthcare they need. Unlike privatized health insurance companies, Medicare is a social insurance program that is paid for through federal mandates and tax payer funds. Billions of dollars are spent annually on over 50 million Americans in need (Alonso-Zaldivar 1). The care structure itself is broken into several main parts: Medicare Part A covers hospital costs, Part B cover most outpatient care costs, and Part C and D cover prescription drug costs through dealing with other private insurance. Yet, the upcoming election in November is threatening to change and alter the structure. Each candidate has his own plan to deal with Medicare; both are trying to reign in the costs of operating Medicare, but with some elements being obviously more beneficial for Medicare recipients than others.
The proposed health care reform bill attempts to change issues of public policy and health care management for the poor and uninsured. Many leaders from the Democratic Party are actively engaging in policy-making to fix what Rep. Henry Waxman (D-California) calls a “‘dysfunctional’ health care system” (2009). Currently, the U.S. health care system denies people with pre-existing conditions from receiving care. Another problem with the system is that the health insurance that some employers offer may be so expensive that their employees cannot afford it. Any cuts in Medicaid may mean that physicians have fewer incentives to provide adequate care for the poor. These are some of the many problems that the Affordable Health Choices Act attempts to address. Fiscally conservative political and business groups oppose this measure because they believe that any changes in public policy and health care management might affect them negatively.
Healthcare reform has become an important issue with many Americans since the passage of the Patient Protection and the Affordable Care Act in 2010. It took years of fighting and refining the bill before it became law, and it represents the lasting legacy of the Obama administration. The Act will allow millions of Americans who were previously uninsured to gain coverage through expanded Medicaid and Medicare programs or through federal or state insurance exchanges. Although the idea of providing healthcare to those who need it but can’t afford it is a noble one, one major question remains. Who will pay for the increase costs associated with expanding coverage? Health insurance is predicated on the spreading of risk. The young and healthy are used to subsidize the cost associated with the care of the old and unhealthy. Congress attempted to address this by placing within the Affordable Care Act a provision which imposes a “tax” of one percent of taxable income on any American who chose not to purchase insurance coverage with the tax increasing every year up to 2.5% for every year they go without coverage. Despite this provision many young Americans are opting out of health coverage and instead will pay the tax. Younger people are making this choice because the tax they pay will ultimately cost them less than a year’s worth of coverage. Not having the younger population covering the costs of the unhealthy could lead to a “death spiral” because private insurance companies are
The growing concern regarding the financial security of Medicare is one of particular interest to the nearly 72 million baby boomers that become eligible for this government-assisted, and tax-payer bolstered, program over the next two decades. According to the U.S. Census Bureau (2010), there will be a rapid increase in baby-boomers between 2010 and 2030, as the entire baby boomer population move into the 65 years and over category (p.3). Political and financial revisions must be made to ensure the security of Medicare as the numbers of individuals paying into this program are soon to be surpassed by the number of individuals drawing-off this program (U.S. Census Bureau, 2010). The elderly are also at a disadvantage with transportation to health care visits, picking up prescriptions, and rehabilitation services. There needs to be an establishment of access not only to primary care providers, hospitals, and rehabilitation services, but access to other aspects of the health care system for the elderly population.
Due to the upcoming presidential election, the two major political parties, and their candidates, have been focusing on the primary problems that the nation will face. Chief among those problems is the future of Medicare, the national health-insurance plan. Medicare was enacted in 1965, under the administration of Lyndon B. Johnson, in order to provide health insurance for retired citizens and the disabled (Ryan). The Medicare program covers most people aged 65 or older, as well as handicapped people who enroll in the program, and consists of two health plans: a hospital insurance plan (part A) and a medical insurance plan (part B) (Marmor 22). Before Medicare, many Americans didn't have health
With the ever-changing difficulties of our health insurance landscape, the government has taken a more active role in the health care and well-being of American citizens. With this shift, programs like Medicare and Medicaid, become polarizing topics in an environment where individual finances are tight, our economy is struggling, and the future is no longer as predictable or financial secure as we once believed it to
Public health emphasizes the importance of prevention and proactively taking care of one’s body. As people grow older, they must follow certain guidelines to ensure that they age healthily and successfully. One of the biggest concerns facing the aging population is chronic diseases. Chronic diseases are long term diseases that have a slow progression. Once chronic diseases pass “certain symptomatic or diagnostic thresholds,” they become a permanent aspect of an individual’s life because “medical and personal regimens can sometimes control but can rarely cure them” (Albert and Freeman 105). One chronic condition that is a cause of concern is diabetes. Diabetes is not only one of the leading causes of death in the over 65 population but