Our life is dictated by choices. Oftentimes, we are given the opportunity for a wide array of options. The decision we usually arrive at is based on a set of criteria on the foundation of what we hold significant in our existence. Effortless selections are expected when it comes to intricate essentials of necessities such as water, food, clothing and shelter. However, when one is obligated on choosing the hospital or health insurance for that matter, several factors are taken for consideration. The decision element then becomes a thought-provoking process.
When I first came to the United States in 2008, apart from the culture and the weather that I had to get accustomed to – I was surprised with the importance of health insurance. My husband had the urgency to file me as his dependent so I could be included in the open enrollment that was around the same month that I arrived in Baltimore, roughly the second week of November. Back then; I did not understand the worth of getting insurance. But, when the kids entered America a year thereafter, I was aggressively participating in cherry-picking the best health plan that would suit the needs of our family. Admittedly, I am not adept in understanding the insurance jargon as well as the details stipulated in the health care plan. Initially, the critical part of deciding which health plans to pick from the available choices is centered on the amount of co-payment for primary care, urgent care, specialist and ED visit. It was only
In 2010, the United States created The Affordable Care Act (ACA). The objective was to share the responsibility of costs between the government, individuals, and employers to provide affordable access to quality health insurance. “However, health coverage remains fragmented, with numerous private and public sources, as well as wide gaps in insured rates across the U.S. population.” (“United States: International Health Care System Profiles,” n.d.). Each individual state within the US, generally has control over private insurance.
Despite reservations amongst Republicans, President Barack Obama signed the Patient Protection and Affordable Health Care Act on March 23, 2010. This law was set to give coverage to 32 million uninsured citizens, introduces subsides so that middle and lower income families can more easily purchase insurance and stops insurers from refusing health coverage to people with preexistent illnesses (Clemmitt, 2010). Evaluating this law five years after it’s signing, the percentage of U.S. adults without insurance dropped 4.5 percent to 11.9 percent in early 2015. Attitudes towards the law have improved with an increasing number of people seeing its benefits over time and although there have been issues with the law, the rate of the growth of health care spending has actually decreased, with a 2013 rate of only 3.6 percent (Vaida, 2015). This current plan isn’t perfect and America still sees its civilization with countless uninsured individuals but it is a step in the right direction. Our nation won’t see a working universal health coverage system until a majority is on the same page regarding the issue and realize idealized results. The quickest way for America to come to this is for states to model other nations and develop their own individual plans so that our society can discover the most efficient option. It may be a single payer system or a government aided pluralistic system (Tanne, 2007), but experimenting with what is successful and what has potential to work is key to finding America’s perfect health-coverage fit and improving our efficiency of spending towards it (Clemmitt,
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
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
In today’s day and age, American households can all agree that health insurance is not a luxury, but a necessity. Without it, costs of emergency room visits and prescription medicines can be financially devastating. However, in the past many families and individuals have taken the risk of not being insured due to the high cost of the insurance itself. To attempt to reform this unfair system, the Obama administration signed into law the Patient Protection and Affordable Care Act in 2010. The law, coined “Obamacare,” has received much opposition due to its expansion government programs and increase in spending. It brings to question how much the government should be involved in an area that for the majority of America’s history, has been
In 2008, upon the commencement of The Affordable Care Act, the idea was to help millions of uninsured Americans gain health insurance, especially those who are at or just above the federal poverty level. Although the idea behind a universal health care system was great at the time, many citizens are struggling to find a doctor that will accept the subsidized health care insurance, such as Medicaid, and Passport. Furthermore, doctors choose to opt-out of accepting government based health insurance because the reimbursement rates are too low. “It is estimated that private plans pay $1.00 for a service, Medicare pays $0.80, and the ACA exchange plans are paying about $0.60.” (Harvey 1) That shows that the government based subsidized programs are significantly lower than the average market value. A
Health insurance in the United States is not a single nationwide system and is much more diverse in terms of production methods (Ridic, Gleason & Ridic, 2012). Health insurance is either purchased privately or provided to some public groups from the government, mainly Medicare and Medicaid (Ridic, Gleason & Ridic, 2012). Medicare is a nationally run program for aged and disabled individuals (Ridic, Gleason & Ridic, 2012). Medicaid provides coverage economically disadvantaged groups (Ridic, Gleason & Ridic, 2012). The Affordable Care Act of 2012, established a shared responsibility between the government, employers and individuals ensuring all Americans have access to affordable health insurance (The Commonwealth Fund, 2016). For private
Societal beliefs and values influence the Affordable Care act. The health care budget is under constraint, how to provide the most recent and enhanced health care while saving money has become a major issue. With this new health reform, millions of Americans who could not afford insurance with their employers or are uninsured due to lack of employment have the opportunity to become insured. The major economic change in this society has created enormous challenges for workers, families, as well as employers. The implementation of this act reduced this plague in the health delivery system.
In the current U.S. system the free market prevails and companies, in this case, major insurance providers “compete” for business. This competitive business approach should in theory drive costs down. For some reason, however, an argument can be made that it has produced the opposite result in profiteering. The nation’s largest insurer, UnitedHealth, boasted over a 10 percent revenue increase in 2013 according to Forbes (2013). Health insurance affordability contributes to the disparity in access to health care, as evidenced by the fact that there are millions that are still uncovered. A greater majority of certain minorities lack both health insurance and the financial resource to seek out either health care or insurance. While insurance companies reap huge profits the percent of private sector companies offering health insurance has dropped to less than 50 percent (Kaiser, 2013). There is decidedly a lack of coordination of care for this at risk population as well, since treatment is rendered sporadically and with continuously changing providers. The last major challenge is that of improving the quality of health care. According to a 2010 report by the U.S. Department of Health and Human Services, Office of Inspector General (OIG), an estimated 13.5 percent of Medicare beneficiaries experienced adverse events during their hospital stay and an additional 13.5 percent experienced a temporary
Basic changes were needed in the way Americans got health coverage. Trying to figure out what it was going to cost them starting in 2014, when major parts of the Affordable Care Act, also known as “Obamacare”, went into effect was the challenge. The four main ways Americans experience healthcare once the Health Reform Law was fully in effect were coverage by an employer, the government, buy it themselves or have none. About half of Americans get insurance through their jobs. About one third through the government like Medicare and Medicaid. About one in ten purchase insurance themselves. And still another 30 million, just under one in ten, no coverage at all.
One of this health care’s programs objective is to limit the number of uninsured (Shi & Singh, 2015). This controversial healthcare plan incorporates a privately funded insurance which is paid for through employment and solely by the patient and a publicly funded insurance by the government. Medicare is provided for senior citizens 65 and older, and Medicaid is provided for low income citizens. The federal government and state government both partake in the funding of Medicaid. Although insurance is provided to the low income through Medicaid, the United States continues to suffer from cost escalation spending 17.1 percent of GDP on healthcare in 2013, a 50 percent more than the second nation (Commonwealth, n.d.) The high cost and limited coverage continues to spark up the conversation for a
Obamacare has drastically raised health care costs for individuals and families. One of the reasons Obamacare was established was to reduce family premiums by $2,500 a year (Anderson 1). However, this goal has not been accomplished yet, the typical family premiums are increasing at rapid rates (Anderson 2). From 2015-2016, Family Silver, one of the most popular family insurance plans, had a ten percent increase on their premiums price. Some states even rose by forty percent (Furchtgott-Roth 3). Middle class families cannot keep paying an arm and a leg for health insurance. Health insurance should not be a major issue for Americans, it should be
The Affordable Care Act now makes it possible for patients to purchase coverage plans where otherwise they would have been refuted. Once intimidating and incapable of compromising their strict policies to suit each individual, the reform now holds them accountable for providing insurance to those who previously would have been deemed ineligible. Along with these early changes, young adults under the age of 26 can now partake in their parent’s insurance policies if their current employment neglects to offer them worker’s health coverage. By 2014, despite the seemingly flawless benefits, all citizens of the country are mandated to acquire health insurance or suffer the consequence of paying an annual fine, a fearful situation for low income families. Some additional restrictions placed on insurance agencies such as Medicaid are that they can no longer rescind a present client’s contract if they are diagnosed with a serious illness and now anyone can appeal a claim denial when formerly only this right was limited to only some policy holders. Though it specifically targets the connection between insurers and patients, many facets of society such as employer-employee protocols, important tax regulations, and even the country’s governmental budget are affected by supposed outcomes of the reform. Like any bill newly passed into law, there are
U.S. health care reform is currently one of the most heavily discussed topics in health discourse and politics. After former President Clinton’s failed attempt at health care reform in the mid-1990s, the Bush administration showed no serious efforts at achieving universal health coverage for the millions of uninsured Americans. With Barack Obama as the current U.S. President, health care reform is once again a top priority. President Obama has made a promise to “provide affordable, comprehensive, and portable health coverage for all Americans…” by the end of his first term (Barackobama.com). The heated debate between the two major political parties over health care reform revolves around how to pay for it and more importantly, whether it
Throughout the 20th century and into the 21st century the United States has always had a realization that there was a problem with obtaining affordable health insurance. The Patient Protection and Affordable Care Act (ACA) also known as Obamacare, was signed into law in March 2010. This law enables people who were unable to afford healthcare the ability to obtain a healthcare plan at an affordable rate. In 2009 a survey was taken as to the amount of people in the United States that carried health insurance. In table one below you can see over 50 million people in the United States did not have any type of insurance, which is close to 17 percent of the population (see table 1 below). “According to the Kaiser Family Foundation, “32%