Healthcare for the Poor

All around the globe, in places including Britain, Canada, Cuba, France and many other countries the mere thought of pulling out a credit card and paying for health services in hospital seems ludicrous. This is because these countries all have free universal health care, meaning that the majority of health care cost are covered by the government. In other words it is free! However, this is not the case the United States of America, where healthcare is privately funded and covered by insurance companies. Michael Moore, in his documentary Sicko explores the flawed US health care system comparing it to countries with universal health care and resolves the current system is corrupt and full of injustices. Throughout the film interviews that the audience can empathize with are conducted making the viewer feel certain emotions leading them to believe that the American health insurance companies are full of is corruption. In addition, images of past events that viewers can resonate with stir up strong emotions and plant the seed of how flawed the health industry is. Furthermore, Moore literally casts himself as the lead character and is able to manipulate certain scenes in order to convey his message because he is able to guide the flow of the scene. By using several cinematic techniques such as good casting, relatable images and personable interviews Moore is able to construct his version of the American health industry, leading the viewer to believe

Consequently, he went into negotiations with the police lieutenant to claim value (Lewicki, Barry, & Saunders, 2007) with distributive bargaining techniques. John’s real interest in this negotiation was not to get his son’s name on the donor’s list but to save his son’s life and that was his main goal throughout the movie. This interest was reaffirmed by his option to kill himself so his heart would be used for his son. At this point, his concern was not getting his son’s name on the donor’s list but making sure his son was alive.

John's life seemed to be one major drama after another; he didn't have a good male role model as a kid, and it seems he never was able to get on track. What was amazing about his life was the number of problems that he seemed to get into and how he wriggled out of them (with the help of a friendly person who just happened to meet him) only to run into more problems.

Personally, the points made within the movie were not a surprise and have been problematic in United States healthcare system for over ten years. Without a doubt, healthcare has turned into a business driven model that focuses on the finances

as if he has lost lots of weight, his face is blotchy and pale". This is a result of the harassment from is father, in the end it becomes too much for John to handle and ends up taking his life in the middle of his issues.

Health care in America is a serious issue as it involves families that are unable to receive accessible, affordable and quality medical treatment. Middle class or impoverished families are unable to receive the benefits of health care due to low income levels and a volatile economy. Politicians discuss the reformation of the health care system, but people who are uninsured suffer the consequences of a system that overlooks middle class families in favor of wealthy families, a dominant issue for conflict theorists. Some argue that the health care system is not in need of reform and state that

In The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care (2009), the author of the book, T.R. Reid travels to industrialized democracies to discuss the different methods of health care delivery system used in these developed countries and compare them to the health care system of the United States. According to T.R. Reid (2009), “the thesis of this book is that we can find cost-effective ways to cover every American by borrowing ideas from foreign models of health care” (Reid, 2009, p. 11). This thesis illustrates that the American health care system can manage health care costs effectively and provide care to all by using some of the successful health care delivery models of foreign nations. The purpose of this book analysis is to discuss the four different health care models presented in this book and provide my prioritization or ranking of these models. This analysis also aims to investigate a case known as the Nikki White case described in this book and discuss the lessons learned from it. Furthermore, this analysis is going to provide my remarks on the, “An Apple a Day” comment relative to the Public Health Model. Lastly, in this book analysis, I will share my conclusion on the basic premise of the book along with my take away messages that I will remember into my future as a Public Health professional.

In today’s society, there is still a great struggle with health care disparities and many lives are affected by the lack of this fundamental program in our society. There are millions of people who die each year because they are unable to afford quality healthcare. The debate still continues about healthcare inequalities, what causes this disparity and who are affected by it. Health care is more of a necessity rather than a luxury and even though skeptics may argue to the latter, it only underlines the importance of the need for the wellbeing and care of individuals. There are several factors that could contribute to the lack of health care in the United States which ranges from but not limited to race, gender, socio- economic status, and lack of insurance coverage. The truth is there is a great disproportion between who can really afford quality healthcare as appose to individuals who have it. One would imagine that an employed individual would easily afford quality healthcare but we could be no further from the truth, since one’s economic status is an essential determinant to its affordability.

I too believe that healthcare should be a right for all citizens. Health is defined by the World Health Organization (WHO) as a state of complete physical, mental, and social well-being (Macionis, 2015, p. 267). Preventative and acute care is important to maintain health and is needed by everyone in the world. Since the creation of the Affordable Care Act many have argued the negative repercussions of the program often neglecting the positives. The fact is, most working adults (59.5%) are offered insurance for themselves and their families at a discounted rate through their employers (Robert Wood Johnson Foundation, 2013). Despite a 10% decline in employers that offer insurance compared to 2011, the option is still available for half of the working population (Robert Wood Johnson Foundation, 2013). Small business owners that employ fifty or more employees are eligible to provide subsidized health insurance for their employees (HealthCare.gov, 2016). In addition, 30.1% of American's utilize either Medicaid or Medicare, a government program that aids or supplements insurance cost ("Medicare and Medicaid, Age and Income - Random Samplings," 2013) . The Affordable Care Act asks that the other 8.4% of the population purchase health care through the "marketplace" where they are able to select and tailor their health care

a) Describe 2 examples of the healthcare system in the film not being responsive/respectful to the patient. Discuss how this disrespect can negatively impacts health.

As humans, the right to medical care is something that should be seen as a privilege. No one should have to worry about if they are able to receive the healthcare that they require. Everyone has the right to receive the care that they should need. The only way to provide equal care for everyone in America is if healthcare were to be free. Though many countries around the world are able to provide free healthcare, this is something that is unfortunately not possible for all countries. There would be many issues that would arise if free healthcare were provided here in America. Due to the fact that quality care would be difficult to find, taxes would be increased, and much more, health care should not be free.

The government has two programs that provide health care to specific groups of people in the United States known as Medicaid and Medicare. After President Johnson signed the Social Security Act in 1965, the government created these two programs. Each of the programs have their own eligibility requirements, coverage, and cost. The Healthcare reform effected both programs eligibility requirements, cost, and coverage.

As the society acknowledges the importance of human rights and dignity, the issues among the poverty, homeless, violence victims are now more considered. Although there are difference in roles between nurses from acute care, intensive care, and emergency settings nurses, community nurses engage those issues to become advocates for social justice. Health care nurses collaborate to identify strategies for incorporating social justice aims into their work environment (Johnstone, 2011). As a public nurses, there has been many researches to address vulnerability, diversity, health literacy, health care access, health care disparities and issues of particular populations such as ethnic and racial minority health, gay and lesbian health and the health of children, women and older adults (Johnstone, 2011). For example, affordable health care 2010 was implied for equitable delivery of healthcare for all individuals in United States. Although there are pro and cons on success of the system, it was aimed to promote the justice of human need to have least of health care when necessary. Among with the issues of inequality and unfairness of worldwide insurance system, this act was to provide fair access to health care. To achieve the aims of a just, accessible, affordable health care system for all, public health nurses make an effort to engage the professional advocacy.

During the film, the subject of poverty was actively depicted. Even though this issue has raised great concerns for India in the past, statistics show that this problem has gradually decreased. In 1978 the percentage of people living on less than $2

India is a country in central Asia with a population of over 1.22 billion people making it the second most populous country in the world. Its high population is one of the factors that results in India having such a high poverty rate. In India today over 37% of the population live below the poverty line. The reality of such a statistic means that these people live in conditions unimaginable to people of the western world. In the film Slumdog Millionaire by director Danny Boyle deeper ideas associated with this poverty are developed including destiny, loyalty and how poverty frees us. These deeper ideas are developed through visual techniques