Government Charge Card Analysis

In the book “mama might be better off dead” written by Laurie Kaye Abraham, tells a story of Jackie Banes and her family, and their struggles to hold the family’s health together. Her grandmother Mrs. Cora Jackson, who pretty much raised her, has suffered the amputation of one leg because of uncontrolled diabetes. Jackie’s father, Tommy, who has suffered a stroke because he didn’t care about the consequences of high blood pressure. Jackie’s husband, Robert, who has a progressive kidney disease. Abraham has gone out of her way to find more about the American health care system in North Lawndale, Illinois. Throughout the book she talks about how the health care system in America is so unfair and unsatisfactory to the needs of poor people such as the Banes’s Family.

As we become older, issues with our health begin to take affect and finding ways to fund for that care is becoming even more difficult. In the article “Some Elders Must Take Drastic Measures to Obtain Long-term Care”, national magazine journalist Mary A. Fischer (2011) states that many Americans must face demeaning and disempowering choices in order to qualify for Medicaid or Medicare—federal funded health insurance programs— such as refusing to pay for a spouses institutionalization, divorce, and spending down assets. The author argues that these choices leave the healthy spouse with decreased funds to plan for their own retirement expense (Fisher, 2011). Working in the health care field for 4 years, along with my family’s own personal experiences I can relate to this article, since I have seen a variety of ways that federal funded health insurances have been unable to meet the expectations and demands of its beneficiaries.

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.

The Department of Public Welfare properly denied MA benefits to cover medical provider’s care to an illegal alien because the care was considered ongoing; not treatment for an emergency medical condition. The medical provider stated that the patient suffered from an aggregate of very severe chronic conditions and acknowledged that treatment and care would be for an indefinite period of time. There was no evidence to support the conclusion that the patient was manifesting acute symptoms thereby rendering her condition an emergency medical condition for which she would be eligible for MA benefits. Spring Creek Mgmt., L.P. v. Dep't of Pub. Welfare, 45 A.3d 474 (Pa. Cmwlth. 2012).

In chapter one titled 'A Crisis of Access' in Beatrix Hoffman's Health Care For Some, discusses the struggles that individuals have faced over the years within the health care system, especially in the times of the Great Depression. Many families have faced finical issues in resulting from loss of jobs or other circumstances that causes them not to be able to afford reliable health care. For example, Hoffman mentions Vera Lahr who was a ten year old girl in 1936 that began to have awful abdominal pains. As a result of her father loosing his job, the family was not able to seek proper medical care right away which resulted in Vera dying from a bursting appendix (Hoffman, 2013: 3).

Politics and government intervention has come to represent an increasing influence within Human Services. Our culture has since its beginning valued determination, and the ability of the individual to direct, and build their own future. For the extremely poor, elderly, physically, and mentally ill the task of providing for themselves becomes impossible. The history, and influence of government on human services within our own culture has often been met with controversy. Beginning with the New deal in the 30’s, with the creation of social security and the social welfare system; to today’s newest program involving the forcefully implemented affordable care act. The reliance on government funded welfare for many of the poorest is a necessity.

The United States has maintained a tolerate-hate relationship with undocumented immigrants, and really immigrants in general. DeSoto (2016) provides a unique perspective in regards to the system surrounding undocumented immigration, “until the nature of global capital is arranged so that such [economical] asymmetries are less extreme, people will migrate towards money and opportunity and way from poverty and lack of opportunity” (p. 2). As Hilfinger-Messias, McEwen, and Boyle (2015) emphasize, more often then not when immigrants become increasingly visible in society nativism resurfaces exclusionary tendencies, and immigration policies become increasingly prohibitive and strict,

The Affordable Care Act, which expanded access to affordable healthcare across the country, has excluding coverage to the almost twelve million undocumented immigrants living in the United States (Nevarez, 2014). Excluding these members of the country has left it nearly impossible to obtain healthcare needs for these individuals. State laws suggest, undocumented immigrants are not allowed any assistance including federal subsidies in order to purchase medical coverage. Undocumented immigrants are also restricted against personally purchasing healthcare coverage through an insurance company, which leaves few options to obtain proper medical care (Nevarez, 2014). Statistics have found that over half of the undocumented population residing in

The article by Shelley Davis (2001) analyzed farmworkers access to health care. It has been reported that approximately only five percent of migrant farmworkers receive health insurance from their employers (U.S Department of Labor, 2000). This article focused on giving a snapshot of farmworkers healthcare struggles. Specifically, educating the public on farmworkers inability to access healthcare for themselves or their closest kin. The fact that their employment is labeled as a high-risk and dangerous of either injury or illness and the inability of their employer to provide health care for these workers puts these migrant workers in a predicament. Often times they need to go without healthcare because of the lack of coverage, money, or time.

Shortly thereafter, he regained life signs and consciousness, attempting to sit up even. I called for a litter and directed he be secured and ready to move, meanwhile contacting the Command Post to provide a situation report and moving to check on other casualties at the CCP. At this time I had twelve that needed evacuation and eight more walking wounded. There were barely enough lucid Soldiers to pull security, but my biggest problem was that the QRF had not arrived yet. Searching for an improvised solution for the PL who I believed was expectant at this point, I saw an Afghan National Army truck parked nearby with a driver who seemed as though he was trying to help. I directed that the PL be loaded onto the back of the pickup truck with two ambulatory Soldiers who could pull security on both the surroundings and the driver. I sent the medic to monitor his airway. The interpreter conveyed my directions to the driver to take the Soldiers straight to our Entry Control Point at the AP, and I instructed the PL’s security to take the vehicle by any means necessary if the driver did not follow directions. Our Platoon Leader was now conscious and responsive, and I told him where he was going and why. Less than fifteen minutes after the attack, the PL and his fight for life was on his way to next level care. As the truck pulled off our 3rd Platoon arrived as QRF.

Too poor to afford private health care insurance coverage, but lucky enough to qualify for Medicaid John Q faces yet another challenge. John’s father recently suffered a heart attack which brought into question his own mortality. John like many Americans is a working class man who works full time but still under the poverty level and into a substandard and overworked Medicaid system. He like many others has high blood pressure and with his father recent heart attack he would like to be checked out. Due to John’s low income he qualifies for Medicaid coverage, but also has work within his restraints. John lives in

It’s believed that these individuals were uninsured due to the negativity that is surrounded by being a holder of state insurance. Basically, saying that the type of health insurance you utilize proclaims your worth to society, your value is depicted on a system that only offers one choice for those that are poverty stricken, needless to say there are no alternatives for numerous individuals. Unfortunately, the problem doesn’t conclude there, in a recent study published in The Milbank Quarterly, the authors explore the stigma on Medicaid patients that filters all the way to the way these patients are being treated by the Doctor, granted it is unclear if the patient was sensitive to the experience due to their socio-economic status or if there truly was a clear bias due to the insurance that they were utilizing (Allen, Wright, & Harding, 2014).

Immigrates faced many challenges in America that made it difficult for them to achieve better advancements for themselves and families. There were many laws place to stop the flow of allowing immigrant in America, and making their lives hard if they already had started their lives here in the U.S. For example; the “Immigration Reform and Control Act of 1986” framed as “Crackdown” on illegal immigration (Brown, 2016). The first crackdown began during the Great depression. Raid were placed on Mexican neighborhoods which caused arrest and deportation on both foreign born and native born citizens (Brown, 2016). They granted amnesty to undocumented migrants who entered U.S before January 1, 1982. Also, the “Welfare Reform Act of 1996” restricted legal immigrant access to certain types of welfare assistance. Which included, but not limited to food stamps, SSI benefits (Lecture, 2016). States may have offered Medicaid and TANF’s benefits. Even though undocumented immigrants were restricted from receiving benefits from the government; if their children were U.S-born they were able to receive the benefits. However, undocumented immigrants may have be denied certain benefits and services; if they needed medical and hospitalization care they could not be turned away. The act that supported care for anyone who entered the emergency room was the “Emergency Medical Treatment and Active labor Act (1986). It stated

While talking about healthcare access, I interviewed a friend about the obstacles he faced as an undocumented immigrant in the U.S. at the time he was not able to apply for Medicaid because of his illegal status in the U.S.” “He said his only option was to apply for a discount”. He had a hard time filling out the application because it was an English. He had to wait several weeks for the clinic to process the request because at the time no one could review the application in Spanish. After the application was examined, he received a letter in the mail and was approved.

I wasn't planning to respond but after my parents explained to me what happened I decided I have to. First they didn't insult you. It was actually you that insulted them. When your card gets declined it isn't anyone of us that has control over that. If our credit card machine says declined, it is because of you or the card issuer. After she told you that it isn't her, she heard somebody in the background cursing her out, then they proceed to keep cursing her out when my dad tried to explain to y'all what had happened. She never once did anything to warrant that disrespect. The funny thing even after you guys were 'insulted" you still came by the restaurant to order some food. That just confirms how full of bs you really are. So please do as