Essay about The Policy Process

Theodore Roosevelt was the first president to talk about healthcare reform, then in 1948, Harry Truman made it his platform for the elections. In 1960 was the creation of two major reforms, Medicare and Medicaid, which some people called the socialism king of programs.

In a survey conducted in 2003, it highlighted that the recurrent problem is the reimbursement rate from Medicaid to the physician (O’Shea, 2007). The Center for Studying Health System Change (HSC) show that 21% of physicians that state they accept Medicaid have reported they will not accept a new Medicaid patient in 2004-2005(O’Shea, 2007). This number would only logically be assumed to have risen in 2013 A survey conducted by the U.S. National Health reported that researchers have found two standout trends among Medicaid beneficiaries: they have more difficulty getting primary care and specialty care and they visit hospital emergency departments more often than those with private insurance (Seaberg, 2012). The lack of primary and specialty care access is mostly contributed to the following barriers; unable to reach the MD by phone, not having a timely appointment with the MD and lastly unable to find a specialty MD that will accept Medicaid. In a recent report released by the Partnership to Fight Chronic Disease, it stated that about 30% of Medicaid patients experience “extreme uncoordinated care”, there is a strong correlation between this situation and higher Medicaid spending and less quality of care given (Bush, 2012). After January 1st 2013, healthcare providers have experienced a 2% reduction in payments for Medicaid beneficiary, this will only create more of a problem for these patients to seek the

The American Health Care system needs to be constantly improved to keep up with the demands of America’s health care system. In order for the American Health Care system to improve policies must be constantly reviewed. Congress still plays a powerful role in public policy making (Morone, Litman, & Robins, 2008). A health care policy is put in place to reach a desired health outcome, which may have a meaningful effect on people. People in position of authority advocates for a new policy for the group they have special interest in helping. The Health care system is formed by the health care policy making process (Abood, 2007). There are public, institutional, and business policies related to health care developed by hospitals, accrediting organizations, or managed care organizations (Abood, 2007). A policy is implemented to improve the health among people in the United States. Some policies

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

The Medicare and Medicaid programs were signed into law on July 30, 1965 by President Lyndon Johnson ("Centers for Medicare," 2012). Before this decision was even taken into consideration, many other healthcare reforms had previously been introduced by earlier presidents, but failed to pass the Senate. Healthcare issues have always been on board for the United States, but during this time the elderly and the poor were desperately screaming for help. The government had no choice but to come up with a solution to their healthcare needs; these two

Barack Obama was elected on November 4, 2008 to be the president of the United States. As he is the president, he implied many new suggestions in the United States, for example, the Affordable Care Act or The Patient Protection also known as Obamacare. The health care reform also known as The Patient Protection and Affordable Care Act or simply Obamacare became one of the most ambitious projects in the history of the United States since the mid-1960’s.1 This is the first attempt to reform the U.S. Health Care system of the United States since the 1960s, when the President Johnson created public Medicare and Medicaid, to help pensioners and the poor. The current reform was attempted back in 1993, however, unsuccessfully by Clinton’s

There have been government programs in the past which have also attempted to make healthcare more accessible and affordable. Two such prominent programs are Medicare and Medicaid. Medicare provides health care coverage to the elderly, while Medicaid provides coverage to the poor. They were endorsed by President Johnson. However, even with the implementation of Medicare and Medicaid, which were enacted in 1965, there are many who are still uninsured (“Affordable Care Act”) . One of the goals of the Affordable Care Act was to help such individuals receive health care coverage. While attempting to garner support for the law, many of its advocates, including President Obama, also promised that those who already had coverage they were content would be able to keep it.

The Formulation Stage that was hinted at during the election in late 2008 began in earnest almost immediately after President Obama took office. According to the article by Smith (2012), Obama made the new federal legislation one of his administration's top priorities from the very outset. This process would begin with Obama's health care summit in March of 2009, where ranking government leaders, healthcare industry leaders and industry experts were briefed on the

The Watergate Scandal of the 1970’s consumed most of the Ford Administrations efforts, so little was done under the administration towards health reform. Luckily, the Carter Administration brought back the idea of universal healthcare and the American Medical Association slightly began to support the idea for the first time. Due to the United States being in a recession at the time, Congress didn’t give President Carter’s plan much attention. The economic issues the United States faced caused the Reagan administration to not make any progress towards a major health reform as well. President Regan actually went in the opposite direction and cut a lot of government funding on healthcare; those cuts mainly affected physician and hospital reimbursements. However, the Regan Administration passed the Medicare Catastrophic Act through Congress, which expanded Medicare benefits

Although Truman was not able to create a universal health care system for America’s citizens during his presidency, his efforts did help to expand health care quality and access throughout the country (Schimmel, 5) and paved the way for the creation of Medicaid and Medicare during the presidency of Lyndon B. Johnson.

In 1991, fewer than common fraction of USA voters felt that health care was a significant issue. just 2 years later, u. s. President urged Congress to assist him fix a health care system that "is badly broken" (Collins 78). Is that the health care system badly broken? The health care reform dialogue has captured the eye of all Americans. What brought health care reform into the ultimate public spotlight? though our treatment throughout this country is of the best quality, our access thereto care is waning due to higher and better prices. Our health care system desires basic reform. Currently, there ar dozens of reform packages in Congress, but 3 packages supply necessary recommendations toward health care reform: President Clinton's Health

As discussed in lecture (Paterniti, 2009) and in Oberlander’s analysis of the U.S. health care system, “any reform that threatens to alter the medical care arrangements of the insured is likely to provoke public opposition” (2003). Most likely, the insured are well off financially and/or politically powerful. These people, who are for the most part content with their current health insurance, would oppose

Congress has responded to the public outcry for action in the face of unacceptable suicide rates and has passed multiple pieces of legislation aimed at correcting the problem. The 2007 Joshua Omvig Bill directed the VA to develop “data systems to increase understanding of suicide among Veterans and inform both the VA and other suicide prevention programs” (Veterans Affairs, 2012, p. 7). In 2015, President Obama signed the Clay Hunt Suicide Prevention for American Veterans Act into Law, requiring the VA to “make it easier for veterans to find mental health resources, do more to recruit and retain professionals” and to increase “accountability for the government programs serving them” (Baker, 2015, para. 2). This recent legislation tends to be

The rational models of policy process are compromising a mechanical process in policy making. Theoretically, the models are helping managers of public sector to manage policy issues by using rigid components of procedure that likely use in laboratory. It means the administrators in public sector will follow some sequences, such as gathering important values that related with policy issue, examining the possible outcomes of policy issue by rating those important values that already established, and then he or she will try to make a decision on what is the best policy. The steps are continuing repeatedly in the same condition. The particular characteristics of the models are having valid data, reliable information and managers

A Policy and Procedure Manual is a vital to the efficiency, morale, and all overall productivity of any company. This manual informs the employees of the company’s vision and purpose and the steps needed to incorporate that vison into their everyday duties and tasks; therefore, producing continuity and efficiency within the company by eliminating confusion and empowering the employees with knowledge and a sense of belonging and pride. The company’s mission, strategy, and vision are married to a successful system of policies and procedures, thus creating a foundation for a lucrative an efficient business with employees that are equipped, informed, and happy.