Healthcare Reform : The Most Noble Of Professions

A newest way to finance health care now days is the health care reform which it is also called Obama Care. The Affordable Care Act was signed into law in 2010. The main objective behind the Affordable Care Act was to ensure that affordable health care insurance was available to every U.S citizen. This law is an extensive document that contains many regulations and laws that relate not only to health care but also to the regulation of insurance companies. One of the best known regulations is that group health plans can no longer put limitations or deny benefits to individuals under the age of 19 due to pre-existing conditions and individuals under the age of 26, are now eligible to be covered under their parents’

For my people and my culture, doctor is one of the best career choices one can think of. If one can get into a Medical School, especially outside the country, he/she is considered as the resident of the highest caste of the society in the future. What can we say; doctors are ones with high intelligence, higher budgets, and high dedication in sciences. They are heroes in the white lab coats that perform surgeries, and save lives. Those with high intelligence, but low budgets; or high budgets, but low intelligence and/or dedications, are not good enough to be the heroes for the sick people. They can still be part of the hospital system, not as the hero, but the hero’s helpers.

1. Throughout history, a number of reformers have sought to improve the quality of medical care. What common thread connects them? Why did some fail? What were the successful able to see/do that others weren’t?

The US pays twice as much yet lags other wealthy nations in such measures as infant mortality and life expectancy, which are among the most widely collected, hence easily compared, international statistics. Many people are underinsured, for example, in Colorado "of those with insurance for a full year, 36.3% were underinsured."[6][7] About 10.7 million insured Americans spend more than a quarter of their annual paychecks on health care because of the high deductible polices.[8]

The complexity of health care could take the rates on a massive trajectory that does not favor the people covered. Therefore, the financial protection that the levels of health insurance covers, help to guard against the risks related to the unexpected costs of health care. The source of coverage could still have an impact by the insurance coverage and financing alternatives that one has access to; Conversely, private insurance, social insurance, and the national health services are the types of healthcare systems by funding and provision. As we look to health care coverage and the reform of Obamacare, I’ll analyze the impact of the uninsured in the industry and look for a resolution to improve the

Health care is a very expensive issue here in the United Sates and the current system is not sustainable at its current state. Republicans for the last 8 years have tried to replace the current system (ACA) with a more cost effective one, but this has been a daunting task.

Healthcare reform in the United States (U.S.), continues to be a hot topic in the news. Whether it discusses how the program will be financed, the need to redesign the organization, or how the process of delivering healthcare will be implemented; one thing that is a frontrunner, is the need for registered nurses (RNs) and advanced practice registered nurses (APRNs) to fill the increased demands on the primary care system (Institute of Medicine, & Robert Wood Johnson Foundation, 2011, p. 375). “Several programs and initiatives included in the health reform legislation involve interdisciplinary and cross-setting care coordination and care management services of RNs” (Institute of Medicine, & Robert Wood Johnson Foundation, 2011, p. 377).

In 2014, the US entered into the force sensational health care reform of the protection of patients in the United States, which is called The Patient Protection and Affordable Care Act. Under this reform, all the citizens and residents of the country are required to have health insurance. It has also caused many discussions and opinions among people. Supporters of it say that this is a significant step forward, since there is no company that can refuse a person in the insurance policy. However, opponents believe that this reform will only worsen the condition of the Americans. The current health care reform has its drawbacks, such as increased fees for insurance, and the impossibility of choice, therefore, it is necessary for change.

One common theme that has resurfaced throughout the entire Obama administration and has created a great deal of focus and debate is health care reform. The Patient Protection and Affordable Care Act (PPACA) which was introduced by Obama in 2010 creates a new structure of health care. It transforms health care from “late-stage, high intensity, illness focused, tertiary, interventional health service to a much stronger value driven focus on achieving the highest levels of health” (Porter-O’Grady, 2014, p. 65). Through this act, legislation has been created that regulates the way hospitals and physicians are reimbursed, which is built on evidenced-based, quality health care outcomes that are cost effective without infringing upon patient satisfaction. At the heart of this debate is the impact on nursing care, for nursing is the largest health care professional as well as the largest component of health care costs. Any change in the health care reimbursement will greatly affect the nursing practice (Buerhaus, 2010). In order to fully understand the impact of this health care reform, one must understand that health care reform is not a new concept. Health care reform has been transforming since the 1800s.

The article I choose for the Unit 4 Assignment addresses how health care reform is unfinished business in United States. We still have many barriers to overcome if we to provide coverage and access to everyone who cannot afford it. Since I am earning a degree in Health Information Technology and already work in the health care industry this article is relevant to my field of study. This is a hot topic in our country today as it seems that everyone has an opinion on this subject whether for or against the Affordable Care Act. I am including my freewriting on this article below:

The implementation of the healthcare reform to the people throughout the United States provides healthcare coverage to all Americans increasing the accessibility to quality healthcare coverage making it more affordable for families. Throughout this paper I will discuss how effective the healthcare reform has been for the state of Pennsylvania, describing what the positive and negative outcomes are, and how the it has impacted the community health within my state. I will further discuss what effects the health care reform has had on economics in health care within my state.

One of the greatest changes in healthcare in the past ten years has been the rise of managed care, much to the displeasure of many patients and physicians alike. Managed care arose out of concern about spiraling healthcare costs and was designed to encourage physicians to give patients treatments that were cost-effective out of their own financial interests. "The consumer strategy was directed at imposing some barriers to use by levying various forms of co-insurance. The most common approaches used either deductibles (where the consumer paid the first portion of the bill a technique familiar in other types of insurance) or co-payments (where the consumer paid a portion of the bill and the insurance company the rest) or a combination of both' (Kane et al 1994). Managed care has given health insurance companies an increasingly significant voice in how treatment is administered and allocated. Managed care has proliferated in the past decade despite considerable criticism of the practice of 'nickel and diming' patients as well as the considerable bureaucratic red tape it is has generated. Also, research indicates that healthy, well-insured patients tend to over-consume care without meaningful co-pays but poorer, sicker patients can be deterred even by moderate co-payments and suffer negative health consequences (Kane et al 1994). However, managed care has not gone away and is a reality that all healthcare

“We will pass reform that lowers cost, promotes choice, and provides coverage that every American can count on. And we will do it this year.” The preceding is a powerful statement from the newly elected President Barak Obama. One of the main aspects of both political campaigns was health care reform. The above quote shows passion and encouragement, but the quotes about health care do not end there. Georgian republican gubernatorial candidate and health care policy maker John Oxendine expressed: “Their proposal would virtually devastate the private healthcare sector in this country along with competition and patient choice, by replacing it with bureaucratic planning and government control. The result of this plan and its one trillion

This section outlines the proposed amendments to the Patient Protection and Affordable Care Act, Section 2713-2714. First and foremost, to achieve the goals outlined in by the current policy is difficult, when the vast majority of Americans with chronic illness are unable to afford the health care services needed to manage their conditions. Therefore, this proposal stipulates expanding the bronze package to ensure that low income individuals have access to the services needed to manage their conditions. An alternative to the expansion of the bronze plan is re-evaluating the federally established poverty guideline. The poverty guideline should be re-evaluated to reduce the disparities that exist as a result of the current guideline.

Over 54% of Americans are against the Health Care Reform act and I am part of that percentage. This reform is asking Americans to give up some of their freedoms or risk getting a penalty. Many parties/groups are against this reform act as well and the following paper will show some of the arguments they have against Obamacare.