Managing A City 's Health Benefits

The United States healthcare industry is facing some serious long-term issues. The number of uninsured people is in millions.

Health care spending in the United States of America as a percentage of the economy has reached astonishing heights, equating to 17.7 percent. This number is shocking when compared to other counties; in Australia health care is 8.9 percent, in United Kingdom 9.4 percent, in Canada 11.2 percent. If the American health care system were to hypothetically become its own economy, it would be the fifth-largest in the world. While these statistics sound troubling, they lead us to look for answers about the problems surrounding our system. The first health insurance company was created in the 1930s to give all American families an equal opportunity for hospital care and eventually led to a nationwide economic and social controversy that erupted in the 1990s and continued to be shaped by the government, insurance companies, doctors, and American citizens. In this paper, I will go in to detail about the various opinions regarding the controversy, the history behind health insurance companies, and the main dilemmas brought out by the health care crisis. Greedy insurance companies combined with high costs of doctor visits and pharmaceutical drugs or the inefficient hospitals all over America can only describe the beginning to this in depth crisis. Recently, the United States health care industry has become know for the outrageous costs of insurance models, developments of various social and health services programs, and the frequent changes in medicinal technology.

Living in the United States, there is one essential thing you need to have, which is health insurance. Health insurance is a type of insurance that can covers cost of medical and surgical expenses when you need them. Without health insurance, the cost of one single surgery would be a enormous number. But in the United States, there are about 46 million americans are uninsured. To them, the cost of health insurance is too high. In America, the average cost of health insurance per month is about $328 and the minimum wage per hour in here is $7.25(where cite from?). From here, we can conclude that it is too expensive for those people to get sick. So, is the health insurance cost unjustifiably high? The answer is the highly developed technology, waste of health care budget and the free competitor in the health insurance market, caused health insurance’s price to remain so high.

The cost of health insurance has changed drastically over the years as it has become more expensive. Depending on personal characteristic, the cost of health insurance may vary. For instance, as individuals grow older the more expensive it becomes. In this case, health insurance is more costly because “older individuals require more health care” therefore “the cost of providing health care is rising” (Madura &Atlantic, 2012). Not only does this affect the high cost of health insurance, but the number of individuals uninsured. As stated by Madura and Atlantic (2012), “about one in every five workers is uninsured” and has increased since then because health insurance has become unaffordable. As a result, individuals tend to seek health care elsewhere as they can no longer

uncompensated care for the uninsured (Hadley 8). This is an inefficient use of health care

Vulnerable populations is a term that creates an image of distinct and narrow-minded minority though the vulnerability of every individual to illness, disease, and injury has made health insurance necessary and probable for a huge portion of the American population. Vulnerable populations in the United States includes parents and children of immigrants, race/ethnic minorities, the disabled poor, the elderly, foster children, families ineligible for welfare, prison inmates and former offenders, children with special care needs, and residents of rural areas. However, the uninsured population has developed to become one of the vulnerable populations in the United States because of the risks and dangers associated with the lack of health insurance. As a result of the increased of the number of the uninsured, they have a huge financial impact on the vulnerable population.

The subject of insurance and how heavily the government can mandate it or not mandate it is a constant struggle in politics. There is always the question of “what kind of relationship should the government have with its people and what role should it play with businesses?” Currently, a popular subject is the Affordable Care Act (Obamacare) and it is challenging the boundaries by requiring people to have health insurance and requiring businesses to offer health insurance to everyone and anyone. Mandating insurance is a hot button subject in other areas too that we will discuss like auto insurance, workers’ compensation insurance, and professional malpractice insurance.

In America, we not only have the problem of the non-insured but the under insured which causes just about as much problem as the underinsured. Each group has contributed to the vast growing cost of healthcare. Over the last decade or two, the amount of uninsured has risen due to the job market in the economy and the fact that most insurances are tied to employment, which is also a problem as the unemployment rate rises. The purpose of this paper is to explore this issue.

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

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

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

The impacts of a large portion of the population being uninsured can have an adverse reaction on the population who are insured. Study done by RAND Corporation and a UCLA shows that it hard for insured patients to find a regular source of care, have delay in their care or going care, and less satisfied with their care (Kelly, 2011, Para 2). Furthermore, high rates of uninsured population can also increase rate of acute health conditions and diagnoses. Thus, causing American health care to be more expensive and increase raise in disease, and sickness in the American population. According to Kaiser Family Foundation (2017), “Because people without health coverage are less likely than those with insurance to have regular outpatient care, they

Chapter five from the text Health Policy the organization, financing, and delivery of Health Care in America third edition by author Donald Barr M.D., Ph.D, confirms Healthcare complexity. The text describes many healthcare competitive options. Each time a health dilemma has arisen instead of repairing the current health care model, the government develops a new plan. Healthcare plans are similar to software upgrades. Each time a technological glitch occurs the software manufacturer creates an update of the previous version. Most often the software update is another expense for the consumer; not a viable option. Furthermore, the upgrade does not guarantee the newer version will work any better. Typically, there is yet another glitch to fix in the latest version. In essence, the health care system should problem solve the healthcare plans that have failed.

The proposed health care reform bill attempts to change issues of public policy and health care management for the poor and uninsured. Many leaders from the Democratic Party are actively engaging in policy-making to fix what Rep. Henry Waxman (D-California) calls a “‘dysfunctional’ health care system” (2009). Currently, the U.S. health care system denies people with pre-existing conditions from receiving care. Another problem with the system is that the health insurance that some employers offer may be so expensive that their employees cannot afford it. Any cuts in Medicaid may mean that physicians have fewer incentives to provide adequate care for the poor. These are some of the many problems that the Affordable Health Choices Act attempts to address. Fiscally conservative political and business groups oppose this measure because they believe that any changes in public policy and health care management might affect them negatively.

There is a spacious room for lemon in insurance field. The price for health insurance is not fixed, it varies based on the level of the need an applicant may require for the insurance. As in the case of elderly people over the age 65, it is well known that it is very difficult for them to get health insurance because of its high price as they certainly will need it more than other applicants. On the other hand, employees working in companies are offered health insurance as a part of the companies’ policies and regulations. This actually create more room for lemon in the insurance field and less chance for old people who need it more. This ended up with adverse selection by the insurance companies. (A.Akerlof, Aug