Public Health Interventions

rehend the PPACA, one must understand the history of the United States’ health care system. The most successful and known reform would be the passage of Medicare and Medicaid. President Johnson’s main objective with his program was to provide health insurance to those over 65 years old, who otherwise wouldn’t be able to receive coverage due to retirement or being financially unfit to purchase health insurance. It has since been expanded to cover those with disabilities, and lower income families (“Overview,” 2015). Brady (2015) examines President Clinton’s attempt to massively overhaul health care in the United States. His plan, the Health Security Act (HSA), required employers to offer health insurance to their employees, and mandated that every US citizen purchase health insurance. This plan would have most likely expand health insurance to many more Americans; however, many feared the large tax increases, restricted options for patients, and with the lack of general support for the bill, it failed in Congress and was never implemented (p. 628). President Clinton’s failed attempt at health care reform opened up the door to future reforms, and it even shared multiple similarities to the PPACA. Smith (2015) updates the history of the health care system in America stating that “In the mid-2000s, America’s uninsured population swelled to nearly 47 million, representing about 16 percent of the population” and how “16 million Americans […] were underinsured” (p. 2). People

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

Macy’s is a company that is embedded in our national pass times and has become more than just a retailing store. Its long history of retailing is over 150 years old. It was founded in 1843 by Rowland Hussey Macy in Harverhill, Massachusetts and was not originally a retailing store. Originally, Rowland targeted the mill industry and it employees and opened four dry good stores. Unfortunately early success did not come for Macy as the company’s first stores actually all failed. Luckily, Mr. Macy was a resilient man who learned from his early mistakes and realized that his target market for this type of store was not mill employees but a higher end clientele. He opened his new store “R.H. MACY” on Sixth Ave between 13th and 14th Street with the trademark star flying high. Mr. Macy had used his tattoo that he had on his arm when he worked in Nantucket on a whaling ship, the Emily Morgan. This was a success for Mr. Macy and as his company grew so did his tactics and innovation on bringing in new customers. He was the first to implement theme exhibits in his stories as well as illuminating window displays which was new tactics in the late 1900’s. He was also the first store to use publicity devices to bring in new customers and since they did not have modern communication he used “Santa Claus” as a public figure to draw in customers. Unfortunately Mr. Macy would not see the 20th century and passed away.

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

Money plays a huge role in access, therefore it is a vital issue to discuss. Within the current system, lack of money results in lack of health care, which leaves thousands of people without any health care coverage. Between 2001 and 2005, the number of people paying for health insurance increased 30%, however income only raised 3% (Health Care Problems). Adequate income is a necessity and unfortunately that is not present. According to the National Conference of State Legislatures, the average annual premium across the country is $16,000. Currently, the average annual income in the United States is $51,107. Mint Money Management suggests that about 4-6% of one’s total income should be spent on insurance, including life, disability, and health insurance. However, the averages in the United States show that the average person spends about 31% of their income on health insurance, which is not financially beneficial. When this rise in health insurance is not parallel to the inflation of income, innocent people are left without a method to achieve health care. There is a program for those who can’t afford health insurance out of pocket nor have access to it, and that is called Medicaid. Issues still exist with the program. There is only so much funding, which leaves many still uninsured. Additionally, people with Medicaid have difficulty

“The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice.” Public Health Reports. Association of Schools of Public Health. n.d. Web. 14 July 2015. This paper claims that the PPACA will cut the number of uninsured Americans in half. The act attempts to provide nearly universal coverage and improve the quality and equity of said coverage through reforms to insurance standards and the marketplace. It also attempts to improve the quality of healthcare and the efficiency of its delivery by allowing consumers to edge the system into a more integrated state and measuring performance. It attempts to encourage preventive medicine by targeting chronic illnesses and funding community-based medicine. These changes will bring huge opportunities for improvement in the system, many of which are subtle and nuanced and will only be seen as the plan rolls into act over the next few

In 2010, the President of the United States signed the Patient Protection and Affordable Care Act (PPACA) into law (Luther & Hart, 2014). As written, the PPACA will be the most extensive change in the financing and provision of healthcare in 50 years (Luther & Hart, 2014). The stated purposes of the legislation are to decrease the number of medically uninsured people as well as decrease the cost of insurance and healthcare for those already insured (Shi & Singh, 2015). Medicaid expansion is significant element of the PPACA and is designed to provide health insurance to the lower income population (Vincent & Reed, 2014). The purpose of this paper

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.

In the U.S. “Decreasing the number of uninsured is the number one goal of the Affordable Care Act (ACA), which provides Medicaid coverage to many low-income individuals” (The Kaiser Family Foundation, 2015, Introduction section). Despite the success of the ACA enrollment of millions of people with health insurance, the most at risk and pressing group of our population is the children. This is a group that needs our attention and their health should be the country’s number one priority. This is a vast difference from Canada, where every child has health care coverage for life because of its Universal Health Care. Bodenheimer and Grumbach (2013) noted that over the years, “reformers in the United States argued for the passage of a national health insurance program, government’s guarantee that every person is insured for basic health care”(p.187). But this effort was not only defeated time and time again, but it was constantly shoved under the rug. It was not until a great effort was pushed by President Obama that we started to see some changes in our health care system. Still a lot of work needs to be done, especially for our children. Stronger measures must be implemented to make sure that every child has an opportunity to live a long and healthy life. This is especially geared towards children living in rural areas, “where access to

Providing healthcare coverage to all citizens can be challenging to many countries and only the most developed countries have adequate resources to truly provide universal coverage to their citizens. Still, when coverage and resources are not sufficient, care is rationed through limited supply or limited access. Most countries have mechanisms in place, however, to insure that affordability does not limit access to necessary services.

In this section, I will review the effects of the Affordable Care Act (PPACA) and discuss its expansion of health care access for different races and classes. Established in 2010, PPACA is a federal statute that determines the health care conditions of Americans. The requirements of PPACA are important to understand because they directly affect the health care access of millions of Americans. This literature overview will provide an insight on the effect of PPACA regulations on health care accessibility, in addition to clarifying the contrasts in health care access experienced by different races and classes.

To better understand individuals with addiction giving up their substance or behavior, I committed myself to running long distance three times a week. Although my experience was likely much less intense than a person with an addiction, I now have some personal insight as to how difficult it can be to change. When tasked with this assignment I contemplated few different options, and I was torn between giving up coffee or to start running. Ultimately, I decided to pick up running, as I believed it would be more of a challenge for me. I also chose running because in high school I ran everyday, and though it was not easy, it made me feel great. In those days running was cathartic for me, and a long run after a bad day always made me feel better.

In order to first start a policy process, the problem for which a policy is to be created must be identified and the policy holding a solution to the problem. Researchers and stakeholders will investigate the problem to identify if the policy will reach the policy making agenda. Policies must be to improve society’s health and wellbeing. In the United States (U.S.) public health related issues that require a formulation of a new policy and come from local, state, or federal legislations which ruling govern the provision of health care services and regulations. In this

Access to preventive health care should not be definable as one of life’s luxuries, yet that is what is has come to be for the approximately “50 million Americans” who have no health insurance (Turka & Caplan, 2010). Clogged emergency rooms and “preventable deaths” are just two of the consequences associated with the lack of health insurance that would provide access to preventive care (Turka & Caplan, 2010). We as a nation are depriving our citizens of one of our most basic needs—being healthy.

Many Americans may find the thought of any new type of online education extremely hard to contemplate. That is to say, massive open online courses (MOOCs) offer a variety of classes for anyone that would like to pursue cost-effective online learning. As the MOOCs evolve, everyone will learn to navigate through this new online learning lifestyle. People must begin to examine the different points of view about the future of MOOCs. Karen Head and Thomas Friedman both give a very extensive analysis of their personal experiences with MOOCs. Karen Head has had the pleasure of planning, teaching, and evaluating the MOOCs first hand. Whereas, Thomas Friedman has been studying MOOCs, their effects, and how they will impact education in the future.