Necessary policy changes include addressing the pre-existing conditions coverage that is really no coverage at all and the coverage of care after involuntary separation from employment needs to be addressed as well.
Quality issues with health care are certainly a policy issue when speaking about Medicare and Medicaid reimbursement and subsequent outcomes from procedures supported with federal dollars. Additionally, institutions such as nursing homes and skilled nursing facilities are often heavily supported with federal dollars and often have horrible results when speaking of outcomes measurement in areas such as pain management, and susceptibility for a DU type I-IV, which is a skin ulcer of increasing severity.
Therefore, the options must be comprehensive to address these aforementioned issues in a cost-effective manner. What the policy must not do however is add additional bureaucracy to the system or produce excessive waste onto the system. Such options should increase the availability of the types of coverage an individual with or without coverage can choose. The cost of these options should also remain affordable, such that it may not go over a certain percentage of an individual's monthly income.
Solution
The proposed solution is to facilitate a comprehensive framework to provide structure to the public health care market. The private health care market is essentially a separate matter as individuals that want to receive care at what would normally be considered to be out-of-network medical facilities, can afford to pay the difference between the insurance coverage and the hospital charge. Surprisingly, the private health care system is not broken, as these institutions are generally supported by medical research grants and additional money that comes in, such as from foreign patients that can pay out of pocket for services.
Certainly, the public health care system does not have such clientele rendering their services. Actually, it's quite different, as many resident aliens receive care with no documentation for the billing department to charge for services. Gang members whom are often shot in major metropolitan areas where public hospitals exist also represent a large statistic of Emergency Room...
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