There are many processes that shape the way health care programs go into effect in the United States. One of the key issues is that the states have the ability to decide who gets what from a specific health care program, which leads to many different determinations (Knickman & Kovner, 2015). Another thing that affects the way health care systems are formed is that we have a fragmented governing institution that often disagrees on a lot of issues, and makes it a lot harder to pass legislation. Many of these legislative administrators impede the movement towards universal health care by tying up proposals and dragging things out (Knickman & Kovner, 2015). No one in the government can seem to agree on what they want done with our health care …show more content…
The United States seems to be unable to come together to form one large market in health care, if they were able to do this they could demand reasonable health care costs, but it seems we are a ways away from that occurring (Saper, 2015).
Benefits of Improving Health Care While reforming health care in the United States, we give more people access to health care benefits. Before the PPACA, the number of people that were uninsured has decreased from 16% to 9%, or to put it into a better perspective, the number has gone from 49 million individuals without insurance to 29 million (Obama, 2016). Instead of utilizing health care services for emergency purposes only, individuals can utilize health care for preventative services and screenings (Kilgour, 2015). Moreover, this improves the general health of the population because diseases are caught early on, reducing mortality in patients. Also, more low income families have access to health care services as well and can utilize services they could not afford before such as specialty care (Obama, 2016). I have witnessed firsthand when I have asked my patients why they did not come to the hospital sooner and many of them tell me because they cannot afford it. With the enactment of the PPACA we have started to see healthier young adults that are not only utilizing their health care but leading healthier lives. In an article by
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
The U.S. is an industrialized nation that continues to be behind on providing health care coverage to all citizens. However, the German health care system came up with a plan that ensured all citizens are provided with some form of health care coverage; nevertheless, the U.S. continues to dispute health care reform and how to provide coverage to all citizens. “Health spending per capita in the United States is much higher than in other countries – at least $2,535 dollars, or 51%, higher than Norway, the next largest per capita spender. Furthermore, the United States spends nearly double the average $3,923 for the 15 countries ("Health Care Cost," 2011, table 1)”.
The Patient Protection and Affordable Care Act (PPACA) was signed into law in 2010 and was intended to reform our health care system, make health coverage more affordable while increasing the quality of coverage and expand preventative health care (Nicola & Bittle, 2015). One important mandate of PPACA is that insurance plans need to include preventive health coverage, without extra cost or additional deductibles to the insured. By allocating funds to prevention programs, and more importantly, increasing the availability of and access to preventive care with the goal of improving the health of communities, the PPACA will help improve outcomes and decrease the overall cost of health care (Williams, 2015). This shift in public or community health,
Signage of the Patient Protection and Affordable Care Act (PPACA) in 2010, proved a significant milestone in reshaping health insurance, healthcare delivery, and reducing the population of uninsured persons (Teitelbaum & Wilensky, 2017). Although the PPACA serves as a step in the right direction in protecting the health of all Americans some provisions under the ACA are too burdensome given they place a financial strain on the states. Thus, many governors across the country grapple with the decision to participate in the expansion of Medicaid eligibility (Sommers & Epstein, 2013). Important to note, the desire to advance the health of populations is not without cost. Thus, as federal and state governments push for and support advances in
According to research done by Westover et. al (2013), the passage of the Patient Protection and Affordable Care Act of 2010 (PPACA) created a greater future role for state Medicaid health plans and necessitates more efficient health care coverage. Low-income individuals have the need for more frequent medical attention than previously insured patients. Gaps in health care coverage, whether partial or full year gaps, have been linked to adults with serious, chronic health conditions. According to research done by Gulley, Rasch, and Chan (2011), among all working-aged adults, 28 million (16%) remained uninsured for all 12 months, and an additional 21 million (12%) reported part year coverage. The goal of the health care reform was to eventually provide equal care coverage and quality to all Americans.
Title: The Patient Protection and Affordable Care Act (PPACA): Blazing a Trail for Healthier Americans
Due to the growing numbers of uninsured people, growth in medical debt and growing profit in healthcare corporations etc.., the Patient Protection and Affordable Care Act (PPACA) was enacted in 2010 to reform the health care system. To increase quality and affordable health care for all Americans, Title I of the PPACA strives to reform the health care system by giving more Americans access to quality, affordable health insurance, and helps to curb the growth of healthcare spending in the United States (“Affordable Care”, n.d.).
The United States health care system has its own unique way of delivery, unlike many other developed countries where health care is a right for all and almost all the citizens have access to basic health care services. In the United States, health care is market based. If you cannot afford it, then you shouldn’t expect to receive coverage. This causes a human right crisis and deprives millions of Americans from receiving the care they need. The privatization of the U.S. health care system results in a substantial number of Americans who are without health insurance. The health care system is constantly undergoing changes, in response to fears of access, quality and cost. Despite all of these changes, there are still significant disparities
The enactment of the Patient Protection Affordable Act has radically changed healthcare policy since Medicare and Medicaid. The Patient Protection Affordable Act (PPACA) aims to address several challenges within the Healthcare system including rising cost of care, poor access to health insurance and health services for many Americans (Shaw, Asomugha, Conway & Rein, 2014). The law promotes facilitation in the collaboration between US healthcare and public system, thus improving population and community
It is believed that PPACA will have many positive impacts on the health care system since it will cover uninsured American citizens and control soaring costs of health care system via programs like accountable care organizations (ACOs). The skyrocketing healthcare cost is a nationwide problem in the U.S. In 2009, the U.S. wasted an approximate $2.5 trillion on healthcare; per capita costs of $8,086, the highest in the world (Goldstein, 2011). The nation’s health care expenses cut down the
PPACA positively affected Hispanic adults. Only 34% of Hispanic adults were uninsured in 2014, signalling an increase in health care access from 41% in 2013. However, despite the increase, Hispanic adults still experience more difficulty accessing care than non-Hispanics. PPACA has been cited as positively impactful as a result of the gains, but barriers to care have still been acknowledged as prominent. Barriers to health care access for Hispanic
The PPACA permits young adults aged up to 26 years old to have health insurance without having to be under the plan of their parents’ private health plan (Cantor, et.al, 2012). This provision has led to a significant increase in the number of young adults with health insurance and also a reduction in their uninsured rate. There has been a 25 percent increase in the number of young adults with non-spousal dependent coverage and a nearly 10 percent drop in their uninsured rate between 2009 and 2010. This decline in the uninsured translates to about 716,000 young adults who have been able to access health insurance. This high enrolment and decline in the uninsured young adults is attributed to the public awareness of the PPACA (Cantor, et.al, 2012).
There is an ongoing debate regarding the potency of the new health care reform—Patient Protection and Affordable Care Act—from the outset of its proposal. Many attempts had been presented in the past years but the root of the issue remains prevalent today, that there is a lack of quality in its delivery and the cost of care is continuously increasing beyond national economic edges. In this manuscript, we will discuss several factors that can positively sway the long-term significance, impact, and structure of the United States health care system. Many are wondering whether the Universal Coverage, to which will give more control and
When taking into account constant technological discoveries leading to longer lives lived in developed countries and the ever exponentially increasing population of the Earth begs the question: how does one ensure the health of everyone while keeping a stable economy and infrastructure? This paper will be looking into how the systems and delivery of health care in a developed country with a low mortality and fertility rate, the United States, compares to a developing country with high fertility and mortality rates, India. The characteristics of a developed country is a high gross national income per person and a low gross national income per person indicates a developing country. India boasts the second highest population in the world just
Health care is essential for all no matter which country they call theirs and the United States is no exception and provides a good example of how the creation of insurance has grown into a controversial subject for many reasons. Spikes in costs, illegal claims, insider trading, and various other factors contribute to many issues surrounding costs, risks, greed, and ill settled suits are just a few of the issues. Areas such as price ceilings, economical instabilities, and governances contribute to areas afore mentioned. Health care costs have risen steadily for years. “Health care expenditures reported in 2008 exceeded $2.3 trillion” (Miller, nd) this figure reportedly will increase throughout the