Medi-Cal Program In Californi A Case Study

Critically analyze the implications of the state’s decision to opt out of Medicaid expansion on the citizens of the state.

Health care reforms is one of the biggest issue for voters. With our aging population, complexity of illness and growing cost of health care, the government need a new approach to delivery of health care system. There is still a large population that are uninsured. There is mounting recognition that our country’s health system is greatly influenced by social determinants, socio-economic status, and environmental

The Affordable Care Act (ACA) has been a topic of dispute since its introduction and continues to be discussed by politicians in the U.S. and throughout the world even after its passage. The Act has many opponents and is the cause of much controversy nationwide, primarily because it introduces higher healthcare costs for the richest citizens. Nevertheless, the ACA is an important stage in the American healthcare development process as it not only allows more people to receive healthcare services, but will also reduce the deficit. However, not everyone agrees. The policy is controversial in terms of cost vs. benefits, but the benefits ultimately outweigh the costs.

Simultaneously, health and healthcare policy plays a tremendous role in the quality of life of every American. Likewise, by the government constantly interceding, health and healthcare is significantly influenced by the political climate and undertakings of administration; therefore creating a conflictual split between republicans and democrats. Health care is regarded as a product rather than a human right shaped by policymaking. Policies establish healthcare service stipulations, which are rooted in local, state, and federal statutes combined with landmark court decisions. Not only does policy focus on healthcare services; but, it also places a substantial emphasis on cost-efficiency and equality.

Health care is one of the major political issues facing the nation today. Most industrialized countries have national healthcare system, while the United States only provide coverage for those who are eligible under government programs like Medicare and Medicaid. As the cost of health care to continue to increase, many question the role of the government while other blame insurance companies for increase in premium.

Expanding Medicaid under the new Affordable Care Act, or Obama Care as it has been dubbed, is a serious issue affecting not only the 47.5 million citizens on it according the to the U.S. Census Bureau (2012), but also 5.7 million more struggling United States Citizens needing medical care (2014). By expanding Medicaid, it would mean access to affordable health insurance, preventative care and new jobs created. On An 6-3 decision, those incomparable court upheld a discriminating some piece of the moderate mind Act, memorable human services change that the President marked under theory five a considerable length of time agnus dei. Now, a large number about Americans who got secured over wellbeing protection marketplaces could sit tight

In a traditionalist state, such as Texas, the financial toll that Medicaid would have on its taxpayers was on the frontlines. The Texas legislature was worried about whether or not its taxpayers would face a tax increase to cover the increased cost of those covered by Medicaid. These taxpayers would inadvertently pay for the hospital bills of those who are uninsured in Texas through an average $1,800 rise in the cost of their premiums (Rapoport, 2012). In support of expanding Medicaid, Texas would receive federal funds in order to ease the cost that accompany the expansion. Since Texas decided not to expand Medicaid, Texas “would be leaving billions and billions of federal dollars on the table” according to Anne Dunkelberg (Rapoport, 2012). Not only does this monetary incentive give Texas an extra push to participate towards expanding Medicaid but it would also help the residents of the state to get insured. Texas legislators understood that this monetary incentive would not fully cover the cost of the newly enrolled Medicaid recipients. In the end, they would have to rework the annual budget and increase taxes in order to cover these extra recipients.

States are being pressured to expand Medicaid to families earning up to $30,000 a year, just like the Affordable Care Act permits. While several respected governors have agreed to expand the program, many other governors and state legislators are cautious. These officials do not want to deny Americans their access to health care, however they do want to slow the expansion of a program that will provide them with limited access to quality care while destroying state budgets. One of the strongest arguments that can be made against the expansion of Medicaid is the fact that States simply can not afford it. The appeal to states to expand Medicaid is that the federal government will cover 100% of the cost through 2016 and eventually lowering to

In recent years, health care has been a huge topic in public debates, legislations, and even in deciding who will become the next president. There have been many acts, legislations, and debates on what the country has to do in regards to health care. According to University of Phoenix Read Me First HCS/235 (n.d.), “How health care is financed influences access to health care, how health care is delivered, the quality of health care provided, and its cost”.

There are some problems that must be addressed in the expansion of the Medicaid policy to include; social, economic, ethical, legal and political. First, the social impact of having health insurance removes the burden off of parents, people with chronic diseases, children and the disabled. If access to health insurance is unavailable our nation’s health care costs will continue to rise,

The paper is broken up in to three sections. In section one, we will discuss the problems with the American Healthcare system and we will try and clear up some of the often misrepresented facts about the healthcare problems and solutions to fix them. In section two, we will present some of the solutions being put forward to fix the healthcare system, including plans by both Presidential Candidates

One of the primary criticism of Medi-Cal expansion is that it is complicated for beneficiaries to find doctors that will accept their insurance, and many patients have to travel great distances to see medical providers (Gorman 2015). Under the California’s Medicaid State Plan, the state assures nonemergency medical transportation to all Medi-Cal beneficiaries (California’s Title XIX State Plan for Assurance of Transportation, 2011). However, the state failed to provide basic statewide guidelines, and it became optional for counties to provide the benefit. This is the pre-context of the AB 2394, Medi-Cal: nonmedical transportation. People living in rural areas are reported to have worse health outcomes, often do not receive preventative care,

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.

The health care system in the United States is one of the greatest concerns facing Americans today and is an issue both moral and economic in nature. Some think the system should stay, for all intents and purposes, the same. They believe that the right to healthcare is a stepping stone toward socialism, and that it is the responsibility of the individual to obtain health care. These are usually the more ideologically conservative citizens and politicians who believe that medicine should remain a free enterprise, not to be constrained by government interference. Then there are those who believe that healthcare is a right, and the federal government has a responsibility to make sure it is available to all citizens, not just those who can afford

Reason 3: Treating 127,000 Medi-Cal patients would cost the state about $438 million to $1.71 billion per year.