Public Healthcare Policy

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.

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.

With this increased research and effort, Americans would be able to intervene and make positive impacts with the state, tribal, and local levels to best address health disparities and inequalities. In efforts to thwart ethnic and minority disparities, The Department of Health and Human Services (HHS) passed the HHS Disparities Action Plan in order to establish “a nation free of disparities in health and health care, (Cooper 97)” and to implement a series of priorities, strategies, actions, and goals to achieve this vision. States, local communities, private organizations, and providers have additionally engaged in efforts to reduce health disparities. With the HHS Disparities Action Plan, the Department continuously assess policies and programs on racial and ethnic health disparities, watching to see which policies make an impact on the level of health care received by minorities. Similarly, The Affordable Care Act (ACA) health coverage expansions significantly increase coverage options for low and moderate income populations and particularly benefit the “vulnerable populations.” The ACA also includes provisions to strengthen the safety-net delivery system, improve

Health Care reform is a major topic of discussion in today’s society, especially with the relatively novel release of the Patient Protection and Affordable Care Act (ACA) by the Obama administration. Historically, the health care system has disproportionally favored those of higher class and income, resulting in diminished health care for those that could not afford it. The Institute of Medicine’s (IOM) 2002 report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, states that a lack of insurance substantially contributes to the proliferation of healthcare disparities. Furthermore, racial and ethnic minorities are most subject to these healthcare disparities because they are significantly more likely to be uninsured. (1) The history of health care reform in the United States, as it pertains to under-insured urban populations, will be discussed, with a specific emphasis on its impact on African-Americans; in addition, the modern resolutions to healthcare disparities will be assessed.

In today’s society, there is still a great struggle with health care disparities and many lives are affected by the lack of this fundamental program in our society. There are millions of people who die each year because they are unable to afford quality healthcare. The debate still continues about healthcare inequalities, what causes this disparity and who are affected by it. Health care is more of a necessity rather than a luxury and even though skeptics may argue to the latter, it only underlines the importance of the need for the wellbeing and care of individuals. There are several factors that could contribute to the lack of health care in the United States which ranges from but not limited to race, gender, socio- economic status, and lack of insurance coverage. The truth is there is a great disproportion between who can really afford quality healthcare as appose to individuals who have it. One would imagine that an employed individual would easily afford quality healthcare but we could be no further from the truth, since one’s economic status is an essential determinant to its affordability.

Health disparities among African-Americans is a continuing problem that has been seen over many years. African-Americans have higher poverty rates, have lower rates of insurance coverage, and are more likely to be covered by Medicaid, than the White population (Copeland, 2005). This lack of insurance has led many of these individuals, to not seek treatment for illness, due to problem accessing health care (Kennedy, 2013). This leaves African-Americans with little to no treatment, which causes an increase of medical care that will be needed further on in their life or a sooner than expected death, caused by illness (Copeland, 2005).

Access to quality healthcare is the one of the top stories in international news today. Most countries around the world are finding different ways to control cost and delivery quality healthcare to its populations. Most countries have the difficult task of offering quality healthcare at an affordable price, without crashing the financial market within the countries. With a growing population and an elderly demographic that are living longer, this has caused a strain on healthcare resources that has a high cost on the economy that is limited. In the United States “Universal Healthcare” is a concept that was introduced to Americans since Bill Clinton has been President. Along with the United States, other countries are preparing for a

Disparities in health and health care in the United States have been a longstanding challenge resulting in some groups receiving less and lower quality health care than others and experiencing poorer health outcomes. Hispanics, Blacks, American Indians/Alaska Natives, and low-income individuals are more likely to be uninsured relative to Whites and those with higher incomes. Low-income individuals and people of color also face increased barriers to accessing care, receive poorer quality care, and experience worse health outcomes. The Department of Health and Human Services Disparities Action Plan (HHS) sets out a series of priorities, strategies, actions, and goals to achieve a vision of a nation free of disparities in health and health care.

The United States is plagued with stark health disparities across its communities (Institute of Medicine, 2013). Defined as the “variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined population groups,” disparities describe the inequality of access to basic health services in America (HSRIC, 2016). Over the past decade, health reform has attempted to address this issue of health inequality by strategizing to insure more people and provide increased access to care.

Within the United States some populations groups face greater challenges then the general public with being able to access needed health care services in a timely fashion. These populations are at a greater risk for poor physical, psychological, and social health. The correct term would be underserved populations or medically disadvantaged. They are at a disadvantaged for many reason such as socioeconomic status, health, and geographic conditions. Within these groups are the racial and ethnic minorities, uninsured children, women, rural area residents, mentally ill, chronic illness and the disabled. These groups experience greater barriers in access to care, financing of care, and cultural acceptance. Addressing these

A key factor affecting access to care is economic inequality. Many racial/ethnic groups are considered to be of low socioeconomic status in the United States. When one has to worry about food and housing, health is not considered a priority. Lack of health insurance is a huge problem that many people face. The inequalities in income means less money can be put towards doctor’s visits and medications. Research done by Shi, LeBrun, Zhu, and Tsai (2011) shows

According to Squires and Chloe, the United States of America is considered as the greatest country in the world, with the largest economy, military powers, freedom of religion and speech, and one of the most successful democrats (2). However, the United States in the only western modernized nation that does not offer free healthcare services to all its citizens. Apparently, the costs of the healthcare services to the uninsured individuals in the US are prohibitive, where the insurance companies are interested in making higher profit margins than providing adequate health care to the insured (Squires and Chloe 4). These conditions are unexpectable and incompatible with the United States

Changes in access to health care across different populations are the chief reason for current disparities in health care provision. These changes occur for several reasons, and some of the main factors that contribute to the problem in the United States are: Lack of health insurance – Several racial, ethnic, socioeconomic and other minority groups lack adequate health insurance coverage in comparison with people who can afford healthcare insurance. The majority of these individuals are likely to put off health care or go without the necessary healthcare and medication that is needed. Lack of financial resources – Lack of accessibility to funding is a barrier to health care for a lot of people living in the United States

According to the United States census Bureau 47.9 million persons in the US which is approximately 15.4% of the entire US population, in 2012 lacked health insurance. Mexico and the US are the only nations of the thirty-four member countries of the Organization for Economic Co-operation and Development (OECD) that do not provide their citizens with universal health care. On the other hand, health care right should be provided to any person in the developed world and no one should be excluded from it. Universal health care would enhance public health, put an end to medical bankruptcies, minimize overall spending in healthcare, assist small businesses as well as the fact that health care must be a crucial service offered by the government (Mangan, 2014).

Interest group roots fall back on the constitution and the birth of the American version of democracy