More Hospitals Before More Demands
Joshua Obra
American University of Health Sciences More Hospitals Before More Demands Until there are more hospitals and clinics built to meet increased demands in California, undocumented immigrants should not be included in the affordable care act due to long current wait times, decreased capacity, and increasing utilization of the health care system. The Affordable Care Act was created and signed into law by President Barack Obama to increase the quality and affordability of health insurance and also expanding insurance coverage to decrease the rate of individuals that are uninsured by 32 million (Congressional Budget Office, 2012). It also forces insurance companies to no longer deny anyone coverage due to pre-existing conditions or raise the premiums once they do get sick. Currently, those who remain uninsured in the United States are undocumented immigrants, citizens not enrolled in Medicaid even though they are eligible, or citizens whose insurance coverage costs more than 8% of their household income and is exempt from paying the annual penalty (Trumbull, 2010). In California there is an estimated 2.6 million undocumented immigrants (Wallace, 2012) and before we open our health care services to more individuals, we first must focus on the issues we have now to prevent any potential negative repercussions to the health care system.
Long Wait Times Wait times in clinics to see a physician has already been increasing and the
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for
One of the most significant issues to issues to affect healthcare in today’s society is the impact that illegal aliens have on the already broken healthcare system. This paper will explore the impact of undocumented Hispanics and their impact on the services available and used in California. Included will be the numbers of those that are affected as well as what is being done to decrease the impact of this population on the current healthcare system.
America needs comprehensive health care reform, and immigrants should be a part of the movement. But many American citizens might ask that pertinent question: why should they cover the expense for illegal immigrants to access health care? The answer is plain and simple: until congress passes immigration laws that work, people are going to migrant here illegally. And to deny migrants access to affordable health care, Americans are not only denying them their human right, they are also putting individual and national health at risk. I believe that this country – which has the medical advancements and the facilities to ensure the health of its citizens – should reach out to its non-citizens, legal and illegal, until it
A key goal of the Affordable Care Act (ACA) was to decrease the number of uninsured individuals, many of whom are in low-income families and are minorities (Kaiser Family Foundation 2016). Under the ACA, immigrants who are in the U.S. legally are eligible for coverage through the health insurance marketplace but undocumented immigrants are not (HealthCare.gov) even when using their own money to purchase. There are estimates of 11.1 million undocumented immigrants in the country as of 2014 (Krogstad, Passel, & Cohn 2016). It is estimated that California was home to more than two million undocumented immigrants in 2013. In 2016, California passed SB 10, a bill that would require the California Health Benefit Exchange, which facilitates the enrollment of qualified individuals into health plans, to apply to the United States Department of Health and Human Services for a waiver to allow individuals who are not eligible to obtain health coverage through the Exchange because of their immigration status to obtain coverage from the Exchange (California Legislative Information). This paper will explore California’s SB 10 legislation, its purpose, and how it will seek to serve its undocumented immigrant population and their health needs.
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
With the economy of the United States in shambles, illegal immigration and the effects it has on health care can no longer be ignored. America has a whole needs to be concerned and well informed of the issues rather than collecting information piecemeal by way of media or other biased groups. If illegal immigration stays its present course the American tax-payer will continue to fund the well being of individuals who have broken federal rules and regulations and are being supported by law abiding citizens. This argument is not about individual rights to live and prosper. It is not about race or discrimination of any sort. It is only about the effects on health care that I am addressing.
In the area of healthcare, the influx of illegals has proven to put a huge burden in all areas of the system. In California over the last decade many hospitals and emergency rooms have closed due to the illegals being treated there and not being able to pay the bills from the hospital. Right now, California out of the 50 states is last in the number of emergency rooms per million people (Jones, 2012, #6.). The insurance premiums for citizens keep increasing because when the illegal’s go to an emergency room
In March 2010, one of the most controversial bills in modern history was signed into law by President Barack Obama. The Patient Protection and Affordable Care Act expanded the 1965 bill passed under President Johnson that created Medicare and Medicaid (“LBJ Presidential Library,” 2015). While the Affordable Care Act, or “Obamacare” as it has been dubbed by the media, has many components, the focus here is the expansion of Medicaid. Obamacare sought to expand Medicaid to cover those who earn too much to qualify for traditional Medicaid, but not enough to afford employer-provided health care. These people are said to be in the “coverage gap” (“Obamacare Medicaid expansion,” 2015). While only 32 states have adopted Obamacare, we should advance a policy encouraging the remaining states to expand existing coverage by extending the period of federal government cost-sharing an additional five years. Doing so would give states previously refusing the cost sharing a second chance to opt-in. This expansion would save money for the states from some of the rising cost of healthcare, and fulfill our moral duty to care for uninsured Americans.
While, as previously stated, the Affordable Healthcare Act is expected to increase medical coverage to include an additional 30 million people, it has become clear that just because the coverage was expanded does not mean an expansion of actual care. With the enactment of the ACA, congress unleashed what can be called a “tsunami” of newly insured patients, flooding a delivery system that was already stressed and barely hanging on. The
In 2008, during President Obama’s campaign, President Obama announced that he would fight for a national health care system that helped millions of uninsured Americans obtain health insurance. The Affordable Care Act, also termed Obamacare, passed on Christmas Eve of 2009. While some people believe the Affordable Care Act is great, others are not too fond of the of it. From passing the bill, the government hoped to expand Medicaid eligibility to help more people whose income was meager or near poverty level. Although the idea was good, studies show that people of color, families in rural areas, and those with cultural and language barriers struggle to receive health care and pay for it. Furthermore, since Obamacare passed into law, the
Maria C. Abascal’s “Reform’s mixed impact on Immigrants” is a reliable source. In this article, the author Abascal refers to how complicated it can be for undocumented immigrants to be covered for health care with the Affordable Care Act, and how it can provide benefits to legal immigrants. The article quickly introduced a waiting time period for legal immigrants to receive later benefits such as Medicaid, etc. and that waiting period is “five years” (Abascal, Para 2). It really doesn't make any sense for legal immigrants to wait that long, which shows how divide the United State is to its residents when it comes to resources. However, since they are not American citizens, I can understand the difference, but everyone’s health matters.
Challenges were evaluated and although the ACA has provisions for healthcare, numerous individuals still remain uninsured and blame the high cost of healthcare insurance as the primary reason they do not have healthcare coverage. In a survey by the Kaiser Foundation in 2014 showed that 48% of uninsured people stated the cost for healthcare was too expensive as the primary reason they were uninsured. Many workers do not have accessibility to healthcare coverage through an employer, and others, predominantly poor working adults from states with no Medicaid expansion, stay ineligible for public healthcare insurance coverage. Furthermore, undocumented immigrants are not eligible for Medicaid or other healthcare from the Marketplace.
In 2010, ANA released a brief stating their stance on access to health care for both documented and undocumented immigrants residing in the states. In the brief, the group asserts that health care is a basic human right. They state that “immigrants, whether documented or not, should have access to quality health care including the opportunity to purchase insurance” (Godfrey, 2010). Undocumented immigrants do not seek medical assistance to manage chronic illness for fear of deportation and cost. This means their health status will continue to deteriorate and the cost to provide treatment will skyrocket. “Limiting adequate health care leads to increases in health care costs and possible health risks” (Godfrey, 2010). At this time, this population is only eligible to apply for charity care at local acute care facilities and one time only emergency Medicaid, burdening the taxpayer. Allowing people to purchase their own health insurance will lower the cost in health care (Godfrey,
There are many issues that are causing changings in the healthcare system. Population aging, rapidly increasing costs of healthcare and the growing burden of chronic disease are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Many states are not prepared to tackle this issue yet. The US has the most expensive healthcare system in the world with health status indicators that are only average in comparison
Fixing problems that face health care in many health facilities demand a system wide set of solutions. The systems used in these facilities must be assessed and redesigned to identify factors that will aid in the achievement of the set goals. The enormous task of achieving the goals should be undertaken collaboratively by all the key stakeholders, who include, health care professionals, planners and policy makers, administrators, payers, and patients and their families. These partnerships must begin with a common understanding of the problems together with a shared commitment to cooperate and work together to eliminate the problems. With this knowledge, therefore, an action plan for redesigning the health care system can be developed and later implemented. For a successful health care service to be realized, there are various factors which should be employed and which are not found in the traditional business setting. These include unique economic processes, proper regulatory requirements and the perfect quality indicators. This creates a need for every leader within the healthcare industry to create or develop unique skill sets that will harmonize both organizational leadership and the inter-professional team development. It is, therefore, important to understand the comprehensive approach to the management of patient care and also how the concepts of team development and organizational leadership support healthcare leaders in creation of a patient-centric