Health Policy, Healthy Cities

Every New Yorker has the right to a safe and affordable place to live in. New York’s shortage of affordable housing has reached a crisis point. Poor and elderly people throughout New York City are at a greater risk of homelessness and forced low-income residents do not have food or medical care to stay in their homes. A sinful structure of homelessness in New York City is New York’s shortage of affordable housing. Millions of New Yorkers are desperate to find affordable housing and tens of thousands are forced to live either in dirty shelters or on the streets. Recent data indicates that nearly 60,000 people, including more than 23,000 children, stay in the city’s main homeless shelter system (Guelpa). A small amount of poor renter households received a housing subsidy from the local government. Little assistance is being provided which means that most poor families and individuals that seek assistance

Health has been influenced by many factors such as poor health status, disease risk factors, and limited access to healthcare. All these factors are due to social, economic and environmental disadvantages. According to the World Organization (WHO) (2015), “the social determinants of health are mostly responsible for health inequities, which is the unfair and avoidable differences in health status seen within and between countries”

Simultaneously, health and healthcare policy plays a tremendous role in the quality of life of every American. Likewise, by the government constantly interceding, health and healthcare is significantly influenced by the political climate and undertakings of administration; therefore creating a conflictual split between republicans and democrats. Health care is regarded as a product rather than a human right shaped by policymaking. Policies establish healthcare service stipulations, which are rooted in local, state, and federal statutes combined with landmark court decisions. Not only does policy focus on healthcare services; but, it also places a substantial emphasis on cost-efficiency and equality.

Besides being the most responsible for addressing the problem, government officials also have the most to gain from a successful policy proposal. This is why government officials are also this proposal’s target audience. If the homeless population can be reduced or the issue completely resolved to the point where homelessness is no longer an issue, government officials would benefit greatly from the publicity of such success. City officials, given their responsibility, are thus both the key player and target audience for this policy analysis and proposal.

Adoption of laws and policies that punish homeless people rather than addressing the problems that cause homelessness is an ineffective approach. Penalizing people for engaging in innocent behavior – such as sleeping in public, sitting on the sidewalk, or begging – will not reduce the occurrence of these activities or keep homeless people out of public spaces when they have no other place to sleep or sit or no other means of living. With insufficient resources for shelter and services for homeless people, enforce punishment for unavoidable activities is not only pointless, it is inhumane (Brown,1999, July/August). Relying on law enforcement officials and jails to address homelessness and related issues, such as mental illness and substance abuse, that are more appropriately handled by service providers, causes problems and widespread frustrations within the criminal justice system. Police officers are not adequately trained to respond to the situations that arise, the criminal justice system does not provide the necessary treatment

Homelessness in the United States can be ended, not just maintained. Allot of cities now have plans to eradicate homelessness. Homelessness and housing instability are large issues that afflict a diverse demographic such as: Families, youth, veterans, and chronically homeless single male adults. Ending homelessness may require specialized solutions that are specific to individual needs. Factors like these make defeating homelessness a difficult task. Although solutions exist for some of the demographics, such as housing for chronically homeless adults, scaling up best practices remains a challenge. For other subpopulations, such as transitional aged youth, evidence-based interventions need to be developed. In this paper we argue that ending homelessness is a Grand Challenge that is big, important, and compelling—one that the profession of social work should be adopt. Meeting this challenge will require a focused, organized response from social work researchers, clinicians, and policymakers. Ending homelessness will require innovation and interdisciplinary or cross-sector collaboration. Key words: Housing First, Permanent Supportive Housing, rapid re-housing, prevention, poverty. The notion that homelessness in the United States can be ended, rather than managed (Mangano, 2002; National Alliance to End Homelessness, 2012), represents a fundamental shift in expectations from the 1980s and ’90s. Since the early 2000s, researchers, policymakers, advocates,

In order to first start a policy process, the problem for which a policy is to be created must be identified and the policy holding a solution to the problem. Researchers and stakeholders will investigate the problem to identify if the policy will reach the policy making agenda. Policies must be to improve society’s health and wellbeing. In the United States (U.S.) public health related issues that require a formulation of a new policy and come from local, state, or federal legislations which ruling govern the provision of health care services and regulations. In this

Although most American citizens do not typically notice government programs in their daily lives, implemented policies have major effects on American citizens. It is estimated that around 1.35 million children suffer from homelessness due to their families living on the streets (Crook). With this massive housing conundrum, the United States government should increase funding for the McKinney-Vento Homeless Assistance Act. Increased funding would decrease homelessness by lowering the crime rate, educating students, and improving American living conditions.

The paper discusses Mayor's Schell's zero homeless family pledge. Mayor Schell was determined to eliminate the homelessness in Seattle when he became the mayor in 1998, to achieve his mission he and his team came up with some strategies and restructuring which are discussed in the paper.

Article 25 of the Universal Declaration of Human Rights asserts that housing is a fundamental component to a decent standard of living, yet few city governments--even in the most developed economies--have proven themselves capable of ensuring such a basic right to their constituents (United Nations, General Assembly). Ranked 49th among the 50 U.S. states for its number of housing units per capita, California has notoriously struggled with chronic shortages in its urban housing market. With 118,142 homeless people recorded in 2016, California holds almost 22% of the nation’s homeless population (Fact Sheet: Homelessness in California 1).

Over the years Los Angeles has had the highest number of homeless people; this situation has been highly overlooked by media and political attention. Cities in many parts of the world may be known as centers for poverty whether if it 's a developed or developing country. No city, state, or country is prone to homelessness. Los Angeles in particular is an entry point for many immigrants who come to look for jobs. The intentions are not to cause there to be a vulnerability to poverty but to try to make a living some how. “Skid Row homeless population originates in South LA – where services and shelters lack resource adequacy and unemployment rates are high among adult men – and policy discussions rarely focus on this trend” (Howard, 4). Los Angeles Skid Row, is known to have the heaviest homeless population compared to other cities. Los Angeles does provide some homeless services like shelter and low-cost housing options for the poor but one of the issues that many homeless people come across is the lack of healthcare. Everyone can suffer from physical and mental health issues but there is a bigger impact on the homeless people in the Los Angeles county because they are not obtaining the proper help mentally, physically, and socially. Many people lose their lives or spread many disease amongst the community. The city of Los Angeles should provide healthcare for the homeless because this issue affects the homeless and everyone else around. More disease are passed around, more

The first child to ever be from using test tube techniques happened in the late 1970’s. Although many have applauded this new type of technology, there is an ethical issue on whether or not embryos should be created in test-tube knowing that fact that many are not implanted and have human development. “Octo-Mom” is a classic case that may have changed many people’s perception when it comes to in-vitro fertilization. Many felt that it was ethically wrong for her doctor to conduct that type of procedure to a woman who will not have the ability to provide adequate care for the well-being of her children who may have health issues.

The issue of homelessness has been called as one that is "highly ambiguous and intangible" (Neale, 1997, p.7). Wright defines the homeless a "diverse, heterogeneous lot. No single catch phrase or easy myth can possibly describe them all" (p.46)

In 2010, the Affordable Care Act invoked a $75 millon dollar demonstration project known as the Medicad Emergency Psychiatric Demonstration that was amended in section 2707 of the Affordable Care Act (ACA). The change seemed to be just what the nation needed, however, there was fine print added to the amendment that changed the interpretation. The fine print stated, patients who are on Medicaid from the ages of 21-65 seeking inpatient mental health care can receive treatment under the law. However, the inpatient facility will receive no

In public health, as in many fields there are a set of conundrums that practitioners, leaders and law makers have to address in order to provide the most appropriate service to their populations. One of these conundrums is the battle between what is good for the community vs. what is good for the individual. This topic will be broken up to the community vs. the individual, and discussed based on research done by Kass et al, and Oriola, and will be concluded by presenting possible solutions.