Public Policy Paper Healthcare Vs Medical Tourism Essay

Health care insurance in the U.S. is extremely competitive and not always fair. Recently in 2012, The Affordable Care Act passed by Barack Obama set new regulations regarding insurance. According to this Act, employers of 50+ employees must offer health insurance, public health insurance such as Medicare and Medicaid was made affordable for those that qualify, it is illegal for anyone to be denied insurance due to pre-existing conditions, and everyone must have health insurance or they will endure tax penalties. For Medicare and Medicaid, each state has different qualifications regarding eligibility. Private health insurance is not mandatory, but many of those that can afford it prefer it because it will cover more than any government insurance. Private health insurance also offers family plans along with single plans(varying from company to company), which will definitely attract middle to high income families. Health insurance is an absolute essential in the U.S. as it is up to the citizen to obtain one that works for them.

Health insurance comes as second nature to many of us. We grab that blue and white card and put it in our wallet and forget about it until we are sick or injured. When this happens, there it is, cushioning our fall like the extra padding it provided to cushion our wallets. This is not the case with everyone, however. Many Americans have no cushion to fall back on, no blue and white card to show the emergency room when they have an unexpected health concern. No HMO with a convenient co-pay amount when their son or daughter develops an ear infection.

A series of events has recently occurred to cause the passage of PPACA. Economics are explicitly linked to health care. In the United States, health care coverage is provided primarily through an employer-based system. This system began in the depression era when pay was federally frozen. Companies, in an attempt to lure scarce workers, used benefits packages including health care as bait. Described as a “uniquely American” “private social security” health care system, the employer-sponsored system is the “cornerstone” of United States health care system (Blumenthal, 2006). This system has left many un- or under-insured. Blumenthal states (2006), “The United States’ dependence on employer-sponsored insurance means that the protection of its citizens against the costs of illness depends directly on the ability of private businesses to manage and absorb health care expenses that have defied all efforts to contain them.” Recently, economic downturn and the need to reduce expenses to better compete on the global market has caused many companies to both reduce their insurance benefits package and their work force causing many to lose their health care coverage. The employer-based system merged with the economic downturn, unaffordable health care costs for businesses, and

Americans can no longer depend on health insurance through his or her employer because of

As of 2014: insurance companies can no longer drop patient coverage based on health status, or deny patients because of pre-existing conditions (5). In addition, patient premiums became based solely on “income, age, tobacco use, geography, and the type of plan you buy” (5). With these new additions to the plan, it makes plans under Obamacare more desirable for Floridians, as many were uninsured because premiums were too expensive (4). However, this still leaves Florida with the 3rd largest percentage of uninsured citizens (7).

For too long, the American public was held hostage by predatory insurance companies. These companies used their power and privilege to keep their companies afloat while ensuring that much needed medical care was out of reach for a majority of the American public. Citizens were subjected to rules, regulations and policies that proved to be detrimental to their needs. Individuals with pre-existing medical conditions were denied care or were made to pay very expensive premiums. Policies were cancelled if additional medical conditions were identified and policies offering the bare minimum of coverage, were expensive preventing individuals from being able to afford health insurance. Americans over the age of 50 found it impossible to obtain quality insurance without paying way too much in premiums. Policies were denied for reasons that benefitted the insured. The result was that many Americans were uninsured, underinsured and when medical situations occurred, citizens were not able to obtain the proper treatment and care. This also placed a strain on the economy because individuals would go to the emergency rooms for treatment and not pay their bills resulting in the increase in premiums. The cycle continued, with bills not paid and premiums increased. This caused the

More than 60 percent of personal bankruptcies in the United States are caused by medical bills. Of those bankruptcies that were caused by medical bills, 75 percent of them involved individuals that have health insurance. When an individual gets sick in this country their first thought is usually ways they can avoiding going to the doctor so they do not have to try and pay for their visit regardless of if they are insured or not. Even now after the Affordable Health Care Act (ObamaCare) has been installed, many Americans are left without coverage. ObamaCare is mainly for those individuals without health insurance, therefore, if you are uninsured you must get insurance or pay a monthly tax to still get coverage. With that being said many people are still left without quality coverage or at risk of getting taxed if they were to lose their job. What many people do not realize is that insurance companies have now raised their prices or cancelled plans due to this new Act still making it difficult for some to get insurance. America is still lacking in healthcare compared to many countries around the world. In other countries their government pays for most of the healthcare costs and the system is almost completely universal. The way the United States government distributes our money is not always in the citizens’ best interest and should be revised leaving more benefits for the people of this country. The American Health Care plan recently adopted

The United States of America is the most prosperous and free country in the world because of hard working citizens and the God-given freedoms we possess. America has contributed countless scientific and medical discoveries and accomplished feats deemed impossible by others. The wealth and progress in this country was not brought about by government intervention and supervision, but from individuals who had the freedom to do what they did best. Because of this freedom, America’s healthcare is currently unmatched anywhere in the world. Though other countries may tout free healthcare, they make it up with burdening taxes, understaffed hospitals, and incredibly long wait periods. The Patient Protection and Affordable Care Act puts America’s healthcare system in jeopardy of falling into the same trap. “Obamacare”, as it is referred to, moves America to a bureaucratized and overburdened system having far reaching consequences on taxpayers, professionals, and patients and should be repealed.

In the current U.S. system the free market prevails and companies, in this case, major insurance providers “compete” for business. This competitive business approach should in theory drive costs down. For some reason, however, an argument can be made that it has produced the opposite result in profiteering. The nation’s largest insurer, UnitedHealth, boasted over a 10 percent revenue increase in 2013 according to Forbes (2013). Health insurance affordability contributes to the disparity in access to health care, as evidenced by the fact that there are millions that are still uncovered. A greater majority of certain minorities lack both health insurance and the financial resource to seek out either health care or insurance. While insurance companies reap huge profits the percent of private sector companies offering health insurance has dropped to less than 50 percent (Kaiser, 2013). There is decidedly a lack of coordination of care for this at risk population as well, since treatment is rendered sporadically and with continuously changing providers. The last major challenge is that of improving the quality of health care. According to a 2010 report by the U.S. Department of Health and Human Services, Office of Inspector General (OIG), an estimated 13.5 percent of Medicare beneficiaries experienced adverse events during their hospital stay and an additional 13.5 percent experienced a temporary

The rising cost of health care has led companies to stop offering health insurance for employees, and private insurance is often too expensive for people to afford. Many families make too much money to qualify for Medicaid, but are unable to pay for private health insurance. Health care costs in the United States have more than doubled in the last twenty years. Insurance premiums are rising five times faster than wages, and Americans are spending more money on health care than people in any other country. The average amount one person pays per year for health care in the United States is 134 times higher than the average of other industrialized countries (“Health Care Issues”). Even people who have insurance aren’t guaranteed coverage. Many insurance companies find loopholes to avoid paying for expensive medical treatment, leaving people with massive debt from medical bills. Medical bills and illness cause over half of all personal bankruptcies in the United

The US system is at its heart an employment-based health insurance system in which employers play a key role as sponsors of their employees. There are over 1200 private insurance companies offering health insurance in the US, which are

burns through $2,797 more every individual consistently than other industrialized nations, despite the fact that 47 million of those individuals are uninsured so the U.S. spends more is that simply the value we pay for having the free decision of suppliers and driving the trends in therapeutic innovation. Not really because no less than 30 percent of all delivered human services administrations are thought to be pointless on the grounds that they do not make very sick individuals any healthier. As an illustration, we should consider Medicare spending. One study contrasted patients and comparable afflictions in high-spending Medicare areas and low-spending Medicare districts. Those patients in the high-spending ranges, who saw their specialist all the more regularly and spent more days in the health facilities, had an expanded risk of biting the dust when contrasted with patients in the lower-spending territories who had the same ailment. It's as though heading off to the specialist in this nation can make a man significantly more debilitated, maybe on the grounds that a patient runs the danger of experiencing unnecessary treatment that correct only the symptoms and not the disease (PBS,

The United States system of healthcare when compared with healthcare systems in the United Kingdom, Germany, Japan, Switzerland, and Taiwan is far more expensive, is notably inefficient, leaves 47 million people uninsured, and forces "hundreds of thousands of people into bankruptcy," according to a PBS video "Sick Around the World." This paper compares the current U.S. healthcare system which at the moment is undergoing a difficult transition into the Affordable Care Act with the healthcare programs in the above-mentioned countries.

Throughout the 20th century and into the 21st century the United States has always had a realization that there was a problem with obtaining affordable health insurance. The Patient Protection and Affordable Care Act (ACA) also known as Obamacare, was signed into law in March 2010. This law enables people who were unable to afford healthcare the ability to obtain a healthcare plan at an affordable rate. In 2009 a survey was taken as to the amount of people in the United States that carried health insurance. In table one below you can see over 50 million people in the United States did not have any type of insurance, which is close to 17 percent of the population (see table 1 below). “According to the Kaiser Family Foundation, “32%

Under the current healthcare reform bill HR-4872, there are several stipulations that will benefit everyone. The proposed bill eliminates the “Pre-existing Condition” clause that insurance companies have been manipulating around for many years. How many people have been stuck in dead end jobs, unable to further their career for the fear of being denied insurance coverage due to a pre-existing condition. The bill (HR-4872) also makes purchasing health coverage affordable. Under the current American system, the health insurance providers can pass on rate increases to the consumers without regard to the clients ability to pay or their after taxes income. It is estimated that healthcare insurance costs have increased as much as 18 – 25% over just the past three years alone. This dramatic increase in premium expenses has put healthcare insurance out of the reach of millions of Americans.