Health Care Vs. Healthcare System

The Social Security Act of 1965 established Medicare and Medicaid which are health insurance programs for the poor and elderly people of the United States. It is funded by a tax on the earnings of employees and contributions by the employers. “It is now broadly apparent that those who opposed Social Security in 1935 and Medicare in 1965 were wrong in their fears…” (Nicholas Kristof  “The Wrong Side of History”).

In 2010 during the term of President Barack Obama something needed to be done due to the rise of healthcare costs and the number of people who were uninsured and unable to pay their healthcare bills (ehealthinsurance 2014). United States spent more on healthcare than any other country but yet was only the 34th in life expectancy. These are some of the many reasons why The Affordable Care Act came about and was signed into a health care law. This landmark law impacted and changed many aspects of the healthcare system, as well as influenced everyone’s healthcare options in the United States. The Affordable Care Act has been just about been one of the most

One of this health care’s programs objective is to limit the number of uninsured (Shi & Singh, 2015). This controversial healthcare plan incorporates a privately funded insurance which is paid for through employment and solely by the patient and a publicly funded insurance by the government. Medicare is provided for senior citizens 65 and older, and Medicaid is provided for low income citizens. The federal government and state government both partake in the funding of Medicaid. Although insurance is provided to the low income through Medicaid, the United States continues to suffer from cost escalation spending 17.1 percent of GDP on healthcare in 2013, a 50 percent more than the second nation (Commonwealth, n.d.) The high cost and limited coverage continues to spark up the conversation for a

In 1965, President Johnson signed Title XIX of the Social Security Amendments, which enacted Medicare and Medicaid (CMS, n.d.). Now, Medicaid is the single largest publically funded health coverage in the United States. The Medicaid program is federally and state funded. Currently, Medicaid covers 70 million Americans. Over 33 million children, 19 million low-income adults, and 16 million elderly or disabled persons are insured through the program. Medicaid also provides assistance to select Medicare beneficiaries, which is currently about 10 million individuals. Long-term care assistance is also a role of Medicaid, with 1.5 million institutional and 2.9 million community-based residents assisted. As visualized in Figure 1, of the almost 70

Since the 21 century there has been nearly 50 million uninsured Americans and as of today the number continues to increase. This has made medical care to projectile. Change has been needed and incompletely answered these last past few years. It a while before this country to get employer mandate of the affordable care act (ACA). Social security was developed in the 1930's with the anticipation of universal healthcare. Then in the 1940's companies started to offer health care packages to their employees as an incentive to get them to work for their company. During the 1950 strong labor unions recuperated and started to accommodate an amplification of health care of health care coverage. Then in the 1990's Clinton administration started to try

Prior to The ACA, the United States was primarily composed of a private health care system. This meant that employers, families or individuals would buy health insurance through private insurance companies. There were also Medicare and Medicaid government insurance programs for qualifying individuals. (Bradey, 2016) Typically the Medicare program is reserved for those individuals who have reached retirement age and Medicaid is for the poor. There are exceptions to each of the programs that this paper will not explore.

Medicare, which was first enacted by Congress in 1965, is a popular, yet failing, program because of a rapidly increasing population of retirees and their increasing costs; despite program’s flaws, Medicare is difficult to change because of the political influence of the elderly, who approve of the benefits they receive from the program. Medicare provides health benefits to citizens who are eligible for social security benefits(Fiorina, Peterson, Johnson & Mayer 2009). The program is embraced by the public, but Medicare’s increasing cost makes it difficult to sustain. Due to its popularity, the program is also very difficult to change, but without limitations the program will continue to decline in the future.

Over the recent years number of American are without health insurance has increase significantly. The resent growth of uninsured American is mainly due to unemployment and permanent disables. At that, most American are employed, fulltime and still making the decision not to have insurance because some think it is the federal government responsibility. Today, the United State has over twenty million of American uninsured. In 2009 over thirty-five million were uninsured. The Afford Care Act ongoing issue on whether the government should provide health care for uninsured. The aims of Affordable Care Act were to ensure that all seniors have healthcare insurance, and to improve the health care delivery systems.

The U.S has many payer systems which many believe it to be its downfall among other countries. This may be because many view it more as an economic business and not an overall wellness plan. The United States’ main public program of funding is Medicare, which once followed a standard form of payment. It is now envisioned as a futuristic model that encompasses the payments of providers. Medicare is a national social insurance program that is run by the government since 1966. Also unlike Great Britain system, the program provides health care to Americans over 65 years of age for those who have paid their work dues in the system. Medicare has also extended its reach to those Americans who may be veterans or disabled. Another huge form of payment to providers is through Managed care which can be beneficial to physicians in the fee for service and capitation aspect. While this form of payment is similar to Great Britain’s programs, their execution of it remains vastly different. Managed Care is a type of healthcare system with health care plans that has restrictions on its selection of facilities and health care providers at a reduced cost for the patient. Rather than come to a conclusion about better ways to negotiate with payers, U.S providers continue to rage war against

The historical background of Medicare is explained by answering many different questions. One of the historical problems which led the creation of Medicare was that the health costs for the elderly increased dramatically, while a person’s income is also declining. Many of the elderly were unable to afford health insurance, which led to a large amount of people not being covered by any health insurance. There were also certain companies that decided to terminate health policies for those who were considered to be high risk. The problems historically were very important in the fact that insurance companies were charging the elderly too much, and it didn’t just affect those who were already financially unstable. This problem was handled previously by different Federal-State programs that were set in place for medical assistance, but they were not meeting the needs of the people. Often, people were turned away and many were not eligible for the programs.

Having been instituted on July of 1965 by President Lyndon, Johnson, for 50 years now, Medicare has served as a means of of health insurance for individuals 65 and above. This program has served as a means of getting healthcare to the elderly despite their financial situation. Going back as far as 1912, America had long been aspiring to establish a health insurance policy for Americans, but alas, none of these projects ever got real momentum. That was until 1945 when Harry Truman was elected into office. Truman believed health care for every American was an urgent matter so he requested that congress create a National Health Insurance Policy, which would help every American pay for meticulous things such as routine doctor visits, dental care, and other necessities. Despite his dedication, Truman’s plan deteriorated and nothing was accomplished. Finally, in 1965, Lyndon B. Johnson signed for legislation to establish what we all know today as Medicare.Since then, the program has experienced countless changes coming to cover far more Americans. At the time, it only consisted of Part A and B, but over the years, but has come to include C and D as well. Despite having been created in order to help a wider population, the program has been proven to have aspects of it that ultimately harm consumers.

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

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

Throughout the first part of the 20th century there was little effort to promote health insurance, but in the second half of the 20th century healthcare became a major concern. Once, Medicare and Medicaid were introduced in 1965 the government along with its citizens took a major step in the progression of healthcare. From then, there was a shift in the privatization of healthcare. This forced many of the lower class to be without health insurance. In 1993, President Clinton with the best of in intentions failed at establishing a universal healthcare system in the United States. Finally in 2006, Massachusetts passed a law that would provide healthcare coverage for all of its state residents. In 2010 the

Most of all the U.S. citizens need a more privately owned insurance to cover the cost of medical care services. Group health insurance purchased by employers were introduced originally during World War II, when wages froze it caused employers to offer benefits such as a way to compete for workers. Nearly every amend since the early 1970s has desired to grow this concept of things. There are now currently more than 1200 privately owned insurance companies in America. Public insurance is provided for the poor that can’t afford good healthcare (Medicaid) and for those over age sixty-five (Medicare). The Medicare system administers medical coverage for those who are at the age 65 and older. In addition, younger people with disabling illnesses or injuries are suitable for Medicare coverage. Those who are under age 65, but do not have health insurance are too poor to afford it and are eligible for medical coverage through Medicaid. Medicare is financed by federal income taxes, while Medicaid is funded by a blend of state and federal taxes. Medical insurance for those who can't seem to get it anywhere else is actually paid for by the more prosperous citizens, basically the rich and well paid citizens. It is paid not directly, but through work and taxes that they pay