Studies in various cities in the United States have revealed that there is an overall inadequacy of health care for low income, homeless, and uninsured individuals (Hwang et al., 2010). The government has recognized the lack of healthcare for these individuals. For many years, politicians have been struggling to enact a healthcare reform. Finally, in March 2010 the Affordable Care act was written into law (Hammer, Phillips, & Schmidt, 2010). There have been many debates on the pros and cons and how effective this act will be at achieving the goal. These debates raise the question, should poor or homeless individuals be required to pay for healthcare insurance? Experiencing poverty or homelessness presents unique barriers to all aspects …show more content…
Many who have experienced food insufficiency feel that health care is a lower priority when directing their personal resources. Another barrier is vision impairment, the person may be unable to navigate the system or collect needed health information due to poor eye sight (Baggett, O’Connell, Singer, & Rigotti, 2010). Finding transportation to clinics or provider’s offices to receive care may enable some from using preventive care. Another major factor is stigmatism. A homeless man or woman may feel they are being stigmatized by health care professionals (Hwang et al., 2010). Work for the homeless often comes day by day and is unpredictable. In addition their current job may be the only source of income for the individual or family. The consequences of missing work even for health reasons is costly to someone’s survival, making work their number one priority. These various reasons can lead to prolonged homelessness, loss of employment related to inability to work from being ill, and further health deterioration or possibly death (Hwang et al., 2010). The extent that homeless individuals are able to obtain health care is largely unknown (Baggett, O’Connell, Singer, & Rigotti, 2010). In a study on the use of primary care among a homeless population two main barriers were established. These were the inability to afford care and the prioritization of other needs above
The homeless are a vulnerable population. They are defined by the U.S. Department of Health and Human Services as “an individual who lacks housing (without regard to whether the individual is a member of a family), including an individual whose primary residence during the night is a supervised public or private facility (e.g., shelters) that provides temporary living accommodations, and an individual who is a resident in transitional housing.” (The National Health Care for the Homeless Council, 2016). They are a social group throughout the US who are susceptible to all of the life’s cruelties. They are much more at risk for adverse illnesses due to their lack of available resources and medical help. Many have predetermined illnesses which need daily treatment but cannot acquire the medication needed. The homeless population lacks the funding for life’s necessities, thus the luxury of insurance and medicine is a dream.
Homelessness has become an evolving epidemic of our time, and the health implications associated with being homeless makes it that much worse. Homeless people are at major risk for premature death and a wide range of health problems such as HIV, skin blemishes, and much more. It is very difficult for homeless people to fix their health issues due to the difficulty of accessing health care possibly because of missing health cards, or simply because of the stigma placed on them when they enter a public facility. Whatever the problem may be that is forcing more people to become homeless, it must be solved, and quickly before our world turns into a travesty.
Homelessness is often accompanied by many other problems such as mental disorders, substance abuse issues, isolation from family and friends, and poor general health. Often time’s people that suffer from homelessness experience a lower quality of life than those who have a place to call home.
The most recent survey of homeless individuals conducted January 29, 2014 revealed 958 homeless adults with no dependants, 70 of which were completely unsheltered, and an additional 130 homeless adults who also had dependent children with them. 208 of these homeless adults are chronically homeless (HUD’s 2014 Continuum of Care Homeless Assistance Programs, Populations, and Subpopulations, 2014).Wayside Christian Mission reaches approximately 7,000 homeless individuals annually (Wayside Christian Mission, 2007). In the Journal of General Internal Medicine, a majority of homeless individuals surveyed stated that they felt discriminated against or that they received lesser care because of their poverty or homelessness (Wen, Hudak, & Hwang, 2007). Homeless and impoverished individuals suffer from high rates of depression, psychiatric illness, alcohol and or substance abuse, HIV/AIDS, TB, Trauma, preterm birth, COPD, low birth weight, musculoskeletal problems, decreased access to care, foot problems, malnutrition, and high Emergency Room utilization (Stanhope & Lancaster, 2014). Not only do homeless persons have a high rate of illness, but they are also less able to appropriately treat health problems. Many homeless individuals have limited access to care, cannot afford medications or nutritious food, and may have difficulty with managing a strict
There are currently 564,708 homeless individuals in the United States (U.S.), however this is just an estimate as there are probably hundreds that go uncounted, during PIT (point-in-time count) or remain unregistered with non-profit agencies providing services (The National Alliance to End Homelessness, 2016). Before the Affordable Care Act (ACA) most homeless individuals did not have health insurance, as provisions for these individuals as well as the low-income population could only be accepted into the Medi-cal / Medicaid program, if they had children that were eligible. Since ACA was implemented a large percentage of the homeless are insured, but, this does not mean that the preexisting gaps and barriers to access health care do not exist. They do. Being homeless has been found to correlate to a poor health status (Robert Wood Johnson Foundation, 2016). In fact, homeless individuals are at risk and experience more chronic illness than someone who has housing. Additionally, once chronic illness develops in a homeless individual, they are at higher risk for comorbid conditions, new conditions (such as skin disorders and respiratory illness) and an acceleration in the development of their disease(s).
The clinical issues affecting the homeless individual can range from mental illness to health issues. Several clinical issues affect the homeless population because of lack of health insurance and clinical resources. “The clinical issues affecting homeless people are dental, vision, foot diseases, post-traumatic arthritis, HIV, TB, STD’s respiratory infections, diabetes, hypertension, and nutritional problems are all major clinical issues” (Zevin, 2013). Quite a few people are homeless and suffer from various clinical issues because they have no insurance, housing, support from family/friends, or program resources. It seems when populations such homelessness is so huge some are left behind with no help. Various social service organizations exist that cater to the homeless population, but so many individuals and families are not helped because of mis-direction. Health care is an important factor to many, especially those who do not have access to a health care facility. Social services resources are available as well as the human service
Homelessness in the United States is at an all time high with 500,000 adults in the streets
The Affordable Care Act (Obamacare) is a healthcare program created by president Obama’s administration. The goal of the Affordable Care Act is to make sure every United States citizen has health insurance. The Affordable Care Act provides “affordable” health insurance plans to citizens that do not have any and make about $15,000 a year. While the idea of providing health insurance to the millions of American’s that cannot afford it is great, everything comes at a cost. According to Emily Miller, Obamacare is causing people’s health insurance premiums to rise by around 1 to 9 percent (Miller 15-15). Not only are insurance premiums rising, but ever since the Supreme Court declared the Affordable Care Act constitutional approximately 20 tax hikes have been approved (Battersby). All the aforementioned reasons are helping pay for Obamacare. Although providing health insurance for people that cannot afford it is important, the Affordable Care Act should be revoked because it will hurt the economy.
The cost of housing is on the rise and many become homeless because they that are not making enough money to afford the cost of housing. The cost of health care and insurance has risen dramatically over the past years. For families living low or middle incomes that can be devastating. Families or individuals that lack health insurance, a sudden illness, chronic disease or accident can be financially devastating. Many people don’t understand the problems homeless families are facing and most families are homeless because of finical situations or because
The social determinants of health are the conditions in which people are born, grow, live, work, and age (WHO, 2016). This current event relates to the social determinants of health because homelessness has a huge impact on someone’s overall health and quality of life. People who experience homelessness do not have the resources to maintain their health. This can lead to stress, depression, substance abuse, and a number of problems. They are exposed to communicable diseases, malnutrition and many other health issues. Over 500,000 Americans are homeless every night (Kertesz, 2016). This is why we have Health Care for the Homeless programs. The majority of federally funded organizations for the homeless are operated properly. But, there are some
Hispanics are one of the largest groups in the United States that are uninsured. Additionally, the Hispanic population is one of the fastest growing ethnic groups in the U.S. The Hispanic population is estimated to increase over the next 25 years to 32 million out of a total of 72 million of the US population (Brice, 2000). The U.S. health care system is facing one of its most notable societal issues in years in reference to its ability to provide access to medical care for the millions of Americans who do not have health care, for whatever cause. The Affordable Care Act was signed into law on March 23, 2010, for the purpose of reducing inequalities in insurance coverage and to provide access to health care for all. A vital goal of the
The Affordable Care Act has brought many changes to healthcare in the United States. Some of the changes brought on by the Affordable Care Act have had a positive impact on society and some have had a negative impact. Some of the positive effects of the Affordable Care Act include better consumer protection and equality, and healthcare coverage for more Americans. Some of the negative effects include rising insurance premiums and a shortage of doctors. There is also a new set of rules under the Affordable Care Act regarding the billing of medical claims.
Universal Healthcare in the United States has been a long time journey that dates back decades and we, as a country, are far behind other developed countries who have had universal healthcare for a long time. Today, Healthcare is obtained through employers or by people paying for it by themselves, which is incredibly expensive due to high premiums. Five years have passed since the controversial Obama care, or Affordable Care Act, was signed into law on March 23, 2010. The Affordable Care Act aimed at fixing the many problems that the United States has with healthcare by making it available to everyone, but also more efficient and this required drastic changes that made some people happy while others unhappy since some are benefiting while others are not. These people include politicians, but foremost presidential candidates. Candidate’s stance on the issue of healthcare is truly important due to the fact that if they’re the next president of the United States, it could hurt or improve the health care reform. Noteworthy candidates are: Jeb Bush, Hillary Clinton, Marco Rubio, and Bernie Sanders. Republicans and Democrats have long debated whether or not the Affordable Care Act should be repealed or replaced. Republicans believe that it is a problem while Democrats support it. The Affordable Care Act should not be replaced but instead improved because it provides quality and affordable health care to Americans. Everyone gets sick and people shouldn’t be afraid of receiving help
The problems of homelessness and mental illness are inextricably intertwined. One way that mental illness impacts people's lives is that it oftentimes renders them unable to carry out the functions of daily life, such as keeping a job, paying their bills, and managing a household. In addition to disrupting the events of daily life, mental illness "may also prevent people from forming and maintaining stable relationships or cause people to misinterpret others' guidance and react irrationally" (National Coalition for the Homeless, 2009). What this means is that a population that is already vulnerable because of an inability to consistently manage self-care lacks the same safety net as much of the rest of society.
Throughout history there has always been a portion of society living in disadvantaged conditions. With the current high cost of living, global issues, unemployment rate on the rise, and low wages, many Americans are finding themselves homeless. One would think that in this advanced century, there would not be individuals living without the basic necessities such as food, water, and shelter. Unfortunately, there are millions of people with nowhere to sleep. Besides the many problems homeless people face daily, one of the leading problems is health care. Being homeless with limited access to health care or shelter in conjunction with mental illness or exposure to harmful diseases can lead to poor health, or