It is important to begin with the fact that the United States has no formal healthcare system. There are five subsystems: private employer provided insurance, Medicaid for low or no income individuals, Veteran’s hospitals serve military veterans, workers compensation serves individuals that have on-the-job injuries and services for active military and dependents. There is also the Medicare system that serves individuals over the age of 65 (Williams & Torrens, 2008). Even with all these subsystems, there are still many individuals without health insurance. It is also important to realize that having health insurance coverage and having access to healthcare are two entirely different issues. An individual can have insurance but still not have access to healthcare. Of course the goal in the United States is to provide adequate healthcare access to everyone (Beedasy, 2010). This is not always possible due to different demographics such as age, socioeconomic, and other issues. I have health insurance but with the deductible extremely high many times I cannot afford to go to the doctor. For individuals that are low income, this issue is a problem. There is a gap between income low enough to qualify
The Healthcare Project, is used to help students get an opportunity to dig into the health insurance system and familiarize ourselves with facts to help better protect ourselves and families from accidents and illness that may come unnoticed. This project will consist of a cost/benefit analysis of two sets of data. The first being that I am twenty two years old and I am a fully functioning and healthy adult with an annual income of 21,000 dollars. Second being that I am twenty two years old and I have type one diabetes with an annual income of 21,000 dollars. These two differences in health could cause a change in health care choices because of the premiums, deductibles, copays, coinsurances and out of pocket cost.
In addition, patients suffer considerable stress over their health care. The plans cost considerable money for those who can access them. For those who cannot, the risks are even greater. People hold onto jobs they do not like because of the health care
Children’s Health Insurance Program (CHIP) varies from state to state. [CHIP is a collaboration between federal and state governments. The programs are run by the individual states according to requirements set-up by the federal Centers for Medicare and Medicaid Services. States may organize CHIP programs as an independent program separate from Medicaid, such as separate child health programs, use CHIP funds to expand their Medicaid programs like SCHIP Medicaid expansion programs, or can combine these] put in quotes with the source advancements into a CHIP combination program (NAHSP,2017). States receive federal funds for CHIP programs at a rate above the typical Medicaid match. States with separate child health programs follow the
No one plans to have oneself or a family member diagnosed with a chronic disease or to be involved in a debilitating accident. Unfortunately, these situations are all too familiar and can happen every day. Having health insurance when these life changing events occur can provide a person or family
Health care expenses are a never ending headache that create numerous liabilities. Liabilities are created when goods or services are purchased on credit and obtained through short- term and long- term loans. Health care expenses create liabilities such that payments are made late or no payments are made at all. In some cases, the cost of health care expenses are unaffordable resulting in those type of payments. To prevent large health care debt, many individuals seek health insurance. Health insurance is provided by private insurance companies or by the government. It covers health care expenses and provides the necessary health care. Although, health insurance is necessary it can also be very costly.
Half of the uninsured are in families where the head of household has a full-time job. Not only is the number of uninsured growing, so too are the ranks of the underinsured. About 29 million people in this country with private insurance are at risk of financial disaster in the case of serious illness or injury. This number increased by nearly 50% in the last decade. Denial of coverage for pre-existing conditions is a common practice by insurance companies whereby the insurer refuses to provide coverage for already-existing conditions such as asthma, diabetes, heart disease or cancer (if they have been treated and are not currently active). The Affordable Health Care Act has helped prevent this from happening
Health insurance comes as second nature to many of us. We grab that blue and white card and put it in our wallet and forget about it until we are sick or injured. When this happens, there it is, cushioning our fall like the extra padding it provided to cushion our wallets. This is not the case with everyone, however. Many Americans have no cushion to fall back on, no blue and white card to show the emergency room when they have an unexpected health concern. No HMO with a convenient co-pay amount when their son or daughter develops an ear infection.
Millions of Americans cannot afford healthcare services, and therefore have no financial defense in battling illnesses. Even with the affordable care act in place, there is a constant struggle for many who cannot afford the premiums that come with these insurance policies. "One of the reasons why we have uninsurance in the United States is that it has become increasingly unaffordable to purchase insurance because the cost of care and the premiums for care have gone up at multiples of the rates of increase of wages and of the cost-of-living in the United States" (Blumenthal, 2014)
“But insurers in many counties are offering such a dizzying array of health insurance plans with so many subtle differences that consumers have struggled to determine which plan is best for them” (Pear, 2015). One of the attractive features of affordable coverage is the low monthly premium. With these attractive numbers, some people might even choose to give up their employer coverage to save the extra money. Naturally, consumers would most likely be fond with the low premiums rather than the quality of the plan. However, low premium is only worth the price that is paid for. The high deductibles lie within these low cost plans could cost the patients a fortune when they receiving the care. As this happen, the Affordable Care Act is no longer serve its purpose in helping to increase the quality and affordability of health insurance as well as reducing the cost of healthcare. Instead, the Obama Care only succeeds in reducing uninsured rate of the population. The lack of understanding about the healthcare coverage could become financially burden to the consumers’ family if they choose to use the plan.
The issue of healthcare coverage under the federal health reform has been politically debated by many Americans, including the current Democratic presidential candidates Hillary Clinton and Bernie Sanders. The healthcare reform enacted in 2010 under President Obama’s regime intended to support the ongoing healthcare system as a building block to enhance more access to health insurance coverage for millions of uninsured Americans; yet the government’s tireless effort to ensure all individuals are covered remains a major issue across the country.
In 2010, under the Obama administration, the Affordable Care Act (ACA) or what is known as Obamacare was implemented. This act was intended to provide citizens in the United States with insurance if they could not afford it beforehand. Also under ACA, a standard of coverage and the management of insurers was put into place (“Obamacare Summary” 2016). But as with everything else in life, Obamacare had its downsides. One of them being, healthy people ended up paying more for their health insurance than those
In the article “Insured, but Not Covered,” Rosenthal points out that, despite being insured through Empire Blue Cross, Karen Pineman had to pay hundreds of dollars out of pocket for a physical therapist when she broke her ankle while playing tennis, simply because her insurer refused to cover it. There are many more cases such as Pineman’s, where patients are forced to pay out of pocket since their insurance policy does not cover their specific treatments. The expenses can amount to thousands and even hundreds of thousands of dollars for treatments of more serious illnesses such as cancer. This is a severe flaw in our current healthcare system, one that could devastate individuals such as Pineman, sinking them deeply in debt and forcing them into
Health insurance in the United States is a highly politicized issue. In recent years, many strides have been made to extend health insurance coverage to all Americans with the passage of the Patient Protection and Affordable Care Act (PPACA). While the program has been vigorously debated in the public realm, arguments are often centered around political ideology rather than economic theory. This paper seeks to challenge the entire structure of the current health insurance model, since its inception in the 1950s. Through the overuse of a third-party payer model, a magnitude of problems have emerged that severely diminish the efficiency of health care allocation in the United States. This paper proposes a model that seeks to correct issues of cost, access, and market efficiency by adapting the Medicare Part D payment scheme for an all encompassing insurance model.
Currently, the issue of health insurance has been a bone of contention for the public regarding whether the United States government should provide this health plan or not. People often possess different perspectives and refer to pros and cons on both sides of the spectrum. While some believes a universal healthcare system will set a foundation for a lower quality of service, increasing governmental finance deficit, and higher taxes, others do not hold the same thought. A universal healthcare system brings enormous advantages rather than disadvantages, such as all-inclusive population coverage, convenient accessibility, low time cost, and affordable medical cost, all of which not only provide minimum insurance to the disadvantaged but also improve the efficiency of medical resources distribution.