Financial burdens greatly limit the system’s accessibility; however, many in the U.S. are unable to fully utilize either option. Census estimates from 1999 indicate that 43 million Americans live without health insurance even though 75 percent of them have a full-time job or live in a household with at least one member working full-time (Mueller, , 5) In addition to the totally uninsured, census estimates also reveal that approximately 42 million other people in the U.S. are underinsured. This means that they have some insurance, but are still unable to afford all of their needed prescriptions, tests, visits to physicians, or hospital
The U.S. healthcare system is remarkably complex, and even healthcare workers struggle to understand it. The U.S. population gets health coverage by government programs, employers, and private insurance. Notably, because of the complexity and fragmentation of the health care system, there is a percentage of the population that remains uninsured. According to CNN Money, the uninsured rate in the U.S. dropped from 18.2% in 2010 to 10.3% in 2016, this drop was under Affordable Care Act(ACA) (). The goal of the ACA was not to give health coverage to all the uninsured population, rather it was to try to decrease the percentage of the population that remained uninsured(). There is a lot of inequality in the distribution of health among the U.S. population
Large populations of Americans are uninsured mainly because of the high cost of insurance. Majority of the uninsured are the low-income working families’. The adults represent a higher percentage of the uninsured than children. Before the law, you could be denied coverage or treatment because you had been sick in the past, be dropped mid-treatment for making a simple mistake on your application, hence, the Affordable Care Act was implemented into law on March 23, 2010 by President Barrack Obama to make sure that every American irrespective of their status will be insured and have full access to proper health care benefits, rights and protection(1). To understand the
The U.S. health care system faces challenges that indicate that the people urgently need to be reform. Attention has rightly focused on the approximately 46 million Americans who are uninsured, and on the many insured Americans who face rapid increases in premiums and out-of-pocket costs. As Congress and the Obama administration consider ways to invest new funds to reduce the number of Americans without insurance coverage, we must simultaneously address shortfalls in the quality and efficiency of care that lead to higher costs and to poor health outcomes. To do otherwise casts doubt on the feasibility and sustainability of coverage expansions and also ensures that our current health care system will continue to have large gaps even for those with access to insurance coverage.
In 2009, the U.S. Government passed The Health Information Technology for Economic and Clinical Health (HITECH) Act, as part of the American Recovery and Reinvestment Act of 2009, to promote the adoption and meaningful use of health information technology (Mangalmurti, Murtagh and Mello 2060). The HITECH Act authorizes grants and incentives to promote the “meaningful use” of electronic health records (EHR) by providers (2060). The effect is a high commitment to a technology-led system reform, urging a renewed national commitment to building an information infrastructure to support health care delivery, consumer health, quality measurement and improvement, public accountability, clinical and health services research, and clinical
The availability of healthcare is an extremely important issue in the United States. There are millions of Americans that are uninsured in the U.S. A high amount of uninsured people are from minority groups such as Hispanics and African-Americans. High deductible payments, the cost of prescription drugs, and lack of health insurance coverage cause many Americans to choose to live without insurance to save money for everyday expenses beside healthcare. Without health insurance, people do not have access to quality healthcare. Most citizens are aware of the issues in the healthcare system, but the disagreement comes when discussing how the best approach on ameliorating the system. Some believe that a more public and universal healthcare system is the best approach. Others believe that America works best through free enterprise and private institutions, and believe health insurance should be more privatized. However, health care has been shown to work best and be more available through proper public government control as it will allow for all Americans to have access to equal healthcare, in which money does not dictate health.
Recently the Untied States top priority has been to provide accessible and affordable health care to every American. Those that lack access to coverage find it much more difficult to seek proper treatment and when they do they maybe left with astronomical medical bills. The CommanWealth Fund found that one-third or thirty three percent of Americans forgo health care because of costs and one-fifth or twenty percent are thus left with medical bills that have problems being able to pay. The federal government, through the Affordable Care Act (2010), has mandated that every person have health coverage in order
The Affordable Care Act (ACA) strives to improve the quality of the lives of Americans. The most current healthcare policy that endorses the ACA, is the ObamaCare initiative that has received a fair share of both support and criticism. (Hwang, et al. 2013) talks about the “Effects of the integrated delivery system on cost and quality”. According to the authors, most people criticize the American healthcare system because of its complexity, high cost and excessive fragmentation. The same scholars confirm however that the fragmentation and the provision of various services, benefit different people that require healthcare attention. The article focuses on several advantages of the integrated healthcare delivery systems (IDSs) in the United States. Furthermore, the scholars identify existing gaps, which include the various arguments of current health policy experts that have endeavored to discuss health policy issues in America. Americans can also access health care services through virtual technologies, which allow them to have different electronic health record databases. (Hwang, et al. 2013) uses relevant materials from peer reviewed and non-peer reviewed articles to describe the fluctuating nature of healthcare service delivery in America. Conclusively, the authors agree that the virtual systems create room for accountability, academic research in healthcare and efficient service delivery.
After the Affordable Care Act (ACA) was enacted in 2010, much of the uninsured population in the United States were finally given the access to health insurance (Shi & Singh, 2015). Prior to the passing of the Act, those who did not have insurance still managed to seek medical attention, whether paying for medical care out of their own pockets or seeking the assistance of government programs. As reported by the U.S. Census Bureau, in 2013, 13.4% of the population in the U.S. were uninsured during the entire year (Smith & Medalia, 2014). Still, a great number of uninsured who sought medical care were unable to pay for those services, this is referred as uncompensated care. In 2013 the cost incurred from
Since the passage of the Affordable Care Act (ACA) or ‘Obamacare’ in 2010 and its implementation in 2014,there has been a steady decline in the uninsured population of the United States of America. The number of Americans with health insurance, has reached a historic peak. According to recent data from the Census Bureau about health insurance coverage, the number of uninsured Americans fell from 33 million the year prior to ACA implementation to 29 million in 2014.The total uninsured rate dropped by more than 4 percent since the health care law took effect. The ACA has significantly reduced the number of Americans who were not able to acquire health insurance due to poverty, unemployment, or having a pre-existing condition.
After reading Delivering Health Care in America A Systems Approach 5th edition by Leiyu Shi and Douglas A Singh, a lot of topics stood out to me, but the one topic that really touches my heart is the topic about Uninsured Americans. Health insurance is currently an important issue in the United States today. Every day we see more and more Americans become uninsured due to unemployment and an increase in premiums. This topic is very important because working in a hospital setting you see so many patients that can’t receive the care they need because of not having insurance or their insurance not covering all of their needs. Hospital administrators face multiple issues everyday in regards to uninsured patients and underinsured patients. As health
Healthcare in the United States is in a crisis situation. Healthcare costs are rising to the point where people are required to pay their health insurance premiums and deductibles over having enough money to cover groceries to feed the family. It seems our government is at odds in terms of the success with the Affordable Care Act and the outcomes we are witnessing from its’ implementation in our country. Many Americans understand the incentives of having healthcare insurance coverage and the benefits it can provide. With so many more individuals entering the healthcare insurance marketplace due to the guidelines of the Affordable Care Act we also see an impact to the supply and demand of healthcare availability and healthy outcomes.
The transformation of health care through the use of Health Information Technology continued with the passing of the Patient Protection and Affordable Care Act of 2010, which mandated the integration of physician quality reporting and Electronic Health Record reporting. This Act required the creation of measures and reporting of the “meaningful use of the electronic health record” and “quality of care furnished to an individual.” In doing so, the law directly links the adoption of the electronic health record with quality of care to the patient. This entails coordination which the Act requires the use of electronic health
Health Informatics created two main categories such as clinical and administrative information systems to meet the needs of one or more department within the health care organization. For the clinical information system, it is set to meet the needs in improving patient care. Therefore, the clinical information system (CIS) categories provide nurses information systems (NIS) that support the way nurses documents the care that given to the patients. However, to improve the delivery of nursing care, the healthcare organization must adopt a computer system that can successfully incorporate tools that will benefit nursing. There is two vendors’ software that implies these characteristics for the