Healthcare for All and to All a Good Night No one says it better then the late United States Senator Ted Kennedy in 1978: "One of the most shameful things about modern America is that in our unbelievably rich land, the quality of health care available to many of our people is unbelievably poor, and the cost is unbelievably high,” and since then not much has changed (Kennedy). According to the US Census Bureau, in September 2013, there were 48,000,000 Americans with no health insurance and since the implementation of the Affordable Care Act (ACA) estimates range anywhere from three to six million people that have signed up for healthcare under the new law (Walt, Proctor, and Smith). Those stats lead to the question of what about the other …show more content…
Since the ACA took effect on October 1st 2013, three to six million have signed up, costs have dropped significantly for many, but to the working poor in this country living pay-check to pay-check the 171.37 dollars a month it would cost a healthy 25 year old in Tacoma, Washington for coverage; could be the breaking point for a minimum wage worker; let alone the cost of a plan to cover a couple or family (WA HealthPlanFinder). An analysis of US Census Data conducting by The New York Times says eight million of the people the ACA is intended to help will not be able to receive assistance under the ACA due to their state rejecting the expansion of the current Medicaid program (Tavernise, Gebeloff). Of the 26 states that rejected this expansion, they are home to just under half of the US population but are home to 68 percent of the nations poor (Tavernise, Gebeloff). Along with not expanding Medicaid those states also did not set up a state heath exchange, limiting their citizens to the more problem ridden federal heath exchange site, and leaving them in limbo between making too much money to qualify for Medicaid but not enough to qualify for government
41 million Americans did not have health insurance in 2001. In 2004, the number rose to 45 million. And in 2005, 47 million people were living without health care. On the other hand, 84% of Americans had health care in 2005 according to a census. So what is wrong with America's health care?
In 2009 there were 50.7 million people, 16.7% of the population, without health insurance. Americans all over the country are working and yet they still can’t afford to pay the high cost of health insurance for themselves and their families. Under the Affordable Care Act of 2010, which was signed by Obama on March 23, 2010, thirty two million Americans who were previously not eligible for Medicaid may now have the opportunity to be covered. If this act is passed in North Carolina then it will be expanded to cover nearly all of the 1.5 million North Carolinians who are without health insurance. If more Americans are covered under the Medicaid that they need then
The Affordable Care Act (ACA), also referred to as ObamaCare, is a complex U.S healthcare reform that attempts to expand and improve access to healthcare and decrease spending through taxes and regulations. The main goal of the ACA is to provide more Americans with affordable health insurance. States vary in when and how they implemented the ACA in order to meet the needs of their state in hope to decrease the uninsured population. Every state had the option decide whether to offer healthcare through a state-based or a federal marketplace. Some states sued the federal government questioning whether they even had to right to impose this act. New Mexico and Pennsylvania are just two of the states that have had to figure out a way implement the Affordable Care Act. Each one had to take into consideration several factors including their state population, the demographics of that population, how many uninsured people there were, and the economy of their state. They both had the public plans such as Medicaid, Medicare and Children’s Health Insurance Program (CHIP) options as well as new federal subsidies that would now be offered depending upon income. Since there is no “one size fits all” health plan each state was challenged to make the best decisions using the tools available to them. This information was then used to formulate a plan that would give the most people access to affordable healthcare in each of these
The 2010 Affordable Care Act (ACA) is the most current governmental effort to bring a national health care plan to the United States (U.S.). Policy makers in the U.S. are hopeful the ACA will be able to extend health care coverage to 47 million nonelderly uninsured citizens (Kaiser Family Foundation, 2014). The ACA broadens the Medicaid eligibility for low income individuals at or below the 138% Federal Poverty Line (FPL) and adds tax credits to assist people to purchase insurance in the Health Insurance Marketplace (U.S. Department of Health and Human Services, 2015). In 2012, the Supreme Court the upheld the constitutionality of the ACA requiring most people to maintain a minimum level of health insurance, however they left the
The Affordable Care Act (ACA) which was passed by Congress was implemented to improve the quality of health care and reduce the cost of health insurance in the United State. America spends more on health care than any other industrialized nation in the world. In North Carolina, the governor signed a bill to block the state from extending the ACA which will allow Medicaid to cover group of individuals that are uninsured. North Carolina rank 33rd of the 50 states in population measures in 2012 and rank 38th in health outcome (Siberman, 2013). In 2010-2011 approximately 1.7 million people were uninsured and had barriers to access health care in North Carolina as
The Affordable Care Act of 2010 (ACA) had put more open doors for Americans to live healthy and longer life. Be that as it may, few individuals are living without insurance due to monetary results. They put their life in the danger of human services administrations. They are having less medicinal services results, getting low quality of care than the general population who has insurance. The proportion of uninsured and insured individuals soar by 25% in 2000. Individuals messes with medical coverage exceptionally and disregarding it in few point in view of their financing issue and lack of education. As indicated by Institute of Medicine (IOM, 2002), 18,000 individuals kicked the bucket without getting a decent social insurance benefit since they were
More than 60 percent of personal bankruptcies in the United States are caused by medical bills. Of those bankruptcies that were caused by medical bills, 75 percent of them involved individuals that have health insurance. When an individual gets sick in this country their first thought is usually ways they can avoiding going to the doctor so they do not have to try and pay for their visit regardless of if they are insured or not. Even now after the Affordable Health Care Act (ObamaCare) has been installed, many Americans are left without coverage. ObamaCare is mainly for those individuals without health insurance, therefore, if you are uninsured you must get insurance or pay a monthly tax to still get coverage. With that being said many people are still left without quality coverage or at risk of getting taxed if they were to lose their job. What many people do not realize is that insurance companies have now raised their prices or cancelled plans due to this new Act still making it difficult for some to get insurance. America is still lacking in healthcare compared to many countries around the world. In other countries their government pays for most of the healthcare costs and the system is almost completely universal. The way the United States government distributes our money is not always in the citizens’ best interest and should be revised leaving more benefits for the people of this country. The American Health Care plan recently adopted
With the implementation of the ACA, many states have expanded their Medicaid programs to include a larger population of low income individuals and families that were not able to obtain health insurance prior to the law. Some of the issues that state legislators struggle with are the overall cost of providing services for the additional recipients, staying within budget, determining an adequate approach of offering quality care, and providing adequate coverage for each recipient. Even though the cost of Medicaid expansion within each state has increased the budget for the program, new appraisals has shown that Medicaid programs spend less per enrollee than commercial health insurance and much of the increase in Medicaid expenses originate from the increase in enrollment in the programs (Coughlin, Long, Clemens-Cope, & Resnick, 2013).
The new and improved health care system in America seems to fall short for many people. The Affordable Care Act made history after President Obama signed it into law on March 23, 2010. This bill is going to create a change in how the current system operates which has kept approximately 46.3 million people uninsured. Those numbers are very disturbing by themselves but if we include all of those who are also underinsured then we add on another 25 million. The ACA is has promised to reduce those numbers dramatically. Even though the plan is to reduce these numbers there will still be people without health care coverage. Some will fall in between somewhere which makes them not eligible for Medicaid but also not able to pay the premiums
Currently, “Premiums in 31 states are expected to rise by double digits, while two states will see decreases in 2017 from this year. Premiums in one state — Arizona — are estimated to more than double” (Herron, 1). This means that the cheap alternative that Obamacare once promised may not be available in the coming months. This increase in many states will affect the general population. Unfortunately, these rises could potentially make Obamacare out of reach for low income families. While this price increase doesn’t affect people who receive health care from their jobs, it is hypothesized that it will affect those who are the most ill. “That means that the sickest patients are most likely to be squeezed. They’ll either have to suffer the inconvenience of switching all their doctors and records around, or they’ll have to stomach the biggest increases” (Ableson, 2). This belief is the core of the Republicans argument because not only has Obamacare proved to be relatively inefficient is is shown to likely become a negative force for those who truly need it. If those who truly need it aren’t getting enough coverage now, what happens when the Act is
A lot of attention has also been given to a group of the uninsured who fell in the Medicaid "coverage gap" because the States in which they live have refused to expand the program under the Obama care, and this group is 2.9million of the rest of the uninsured according to the news report. According to the author, if this group can be covered, it will greatly cut down the number of the remaining uninsured, although this will be far from solving the entire problem of the Universal Health Coverage. It is also reported in the news that even though a large number of the eligible uninsured live in states that have expanded Medicaid under the ACA, some of the state leaders are not keen in covering their uninsured residents thereby making it more difficult for their residents to get full coverage. According to Rice et al (2014), Gaps in the healthcare coverage and problems accessing healthcare insurance coverage by the uninsured adds to the numerous disappointingly weakest results recorded in the USA. Nonetheless, the significance of instruction, age, and well-being status in clarifying wage-related holes in administration use shows that the ACA cannot deliver all
In 2010 the ACA was passed that expanded Medicare eligibility to include those with incomes up to 133% of the federal poverty level (“ObamaCare Medicaid Expansion,” n.d.). This helped the most impoverished people by providing them with health coverage. Because states cannot be forced to participate in the ACA's Medicaid expansion, not all states have expanded their Medicaid programs to cover individuals with household incomes below a certain level (“ObamaCare Medicaid Expansion,” n.d.). This created a Medicaid coverage gap in between those who can afford health insurance and those who qualify for Medicaid (“ObamaCare Medicaid Expansion,” n.d.). This means that not all U.S. citizens have any type of insurance coverage or access to health
When the Affordable Healthcare Act passed in 2010, I like many others thought it was a good idea and would make health insurance attainable for the millions of Americans who were not insured. The Affordable Healthcare Act was supposed to lower premiums for households between 100% and 400% above the poverty line through tax credits, and support innovative methods designed to lower healthcare costs. Unfortunately, this is not the case 7 years into the ACA, and millions of Americans can no longer afford the insurance offered to them through the healthcare exchange and must make sacrifices to avoid the penalty. This rise in cost has not only impacted the consumers of the exchange, but has also impacted the majority of Americans who purchase
There is no health care crisis in the United States. The new health care reform, ACA, is focused on the small amount of the uninsured citizens as the health care crisis. In the article, A Creeping Catastrophe, stated by the polling firm Lake Research Partners “while 47 million Americans are uninsured, 91 percent of voters in the 2008 election had some form of health insurance” (Armstrong and Wayne 3). While 47 million people sounds like an excessive amount it essentially equals to 15% of the USA population for that year. The 15% uninsured are the homeless, drug addicts, or have a religious reason that either do not need or care to have health care insurance. In spite of the uninsured and unseen these people, do receive free
Some of the approaches of the ACA are ineffective, poorly targeted, or not ambitious enough to address deeply rooted problems in our broken health care system. For example, individuals with middle income who falls between insurance gap and cannot buy health insurance or qualify for Medicaid, health insurance is usually an unaffordable option. Even if a health insurance plan is available on the exchange for which those individuals can afford the premiums (without a subsidy), they most likely cannot afford the high deductible and coinsurance which they have to pay before the insurance plan begins. This amount is typically a few thousands of dollars a year, in addition to the premium