(ennie; Fontanarosa, 2006)
Apart from financial reasons, millions are not bale to access healthcare due to a lot of barriers inclusive of geography, racial differences and immigrant status. The people who do not have access to required care, that might comprise incapability to get primary care chronic care, specialist care, or emergency care stand at risk for severe health consequences. As per a recent report, absence of health insurance was linked with considerably lowered application of recommended healthcare services for cancer prevention, cardiovascular disease threat reduction, and diabetes management within the lower-income as also higher-income adults. Apart from the concerns, trouble, and stress directly associated to their illness, patients those who lack insurance or are underinsured also encounter increased levels of debt, threatening calls from collection agencies, anxiety, and possible insolvency. (ennie; Fontanarosa, 2006)
Impact of reform measures on the nursing profession:
The U.S. healthcare system is considered among the most technologically…...
mlaReferences
Granger, David; Young, Audrey. (1999) "Healthcare and the Underserved: America's Poor and Managed Care." Project of the Standing Committee on Health Policy: American Medical Student Association. Retrieved 10 September, 2007 at http://www.amsa.org/pdf/hlthcareunderserved.pdf
N.A. (2002, Jun 1) "Collective bargaining in the nursing profession: salient issues and recent developments in healthcare reform" Hospital Topics. Retrieved 10 September, 2007 at http://goliath.ecnext.com/coms2/summary_0198-95081_ITM
N.A. (n. d.) "Nursing's Agenda for Healthcare Reform." The American Nurses Association
Inc. Retrieved 10 September, 2007 at http://www.needlestick.org/readroom/rnagenda.htm
Health Care eform:
One of the major topics that have had a long history in the United States is health care reforms, which has been characterized by huge debates. Following decades of failed attempts by various Democratic presidents, a new law was enacted by President Obama to overhaul the country's health care system. The enactment of this legislation came after a year of harsh partisan combat with the purpose of ensuring access to health care insurance for millions of Americans. In addition to being the most controversial topic, health care reform law was the largest single legislative accomplishment of President Obama. Notably, this legislation will cost America's government approximately $940 billion over the next decade based on an analysis by the Congressional Budget Office. The office has also estimated that the law will lessen federal deficit by about $138 billion during the same period and a further reduction of the deficit…...
mlaReferences:
Cannon, M.F. (2010, March 1). The Best and Worst Health Care Reform Ideas. Retrieved December 15, 2011, from http://dailycaller.com/2010/03/01/the-best-and-worst-health-care-reform-ideas/
Cohn, J. (2011, January 20). About that Whole "Replace" Thing & #8230; Retrieved December 15,
2011, from http://www.tnr.com/blog/jonathan-cohn/81821/about-whole-replace-thing
"Health Care Reform.." (2011, November 15). The New York Times. Retrieved December 15,
Health Care eform:
In March 2010, after protracted public and political debate, the Patient Protection and Affordable Care Act (PPACA) was enacted into law by President Barack Obama. This legislation was one of the many health care reforms initiatives that have sought to rectify major features of the health care system in the United States such as service delivery, care coordination, and financing. Since its enactment, PPACA is considered as a milestone along the historical continuum of health care reform in America. Generally, health care reform in the United States is an issue that has continued to evolve based on the ever-growing health care needs of the population. However, this issue has been characterized with several challenges that are mainly influenced by the public's response to reform efforts.
Principal Features of U.S. Health Care System:
The Patient Protection and Affordable Care Act (PPACA), which is commonly known as the Affordable Care Act was…...
mlaReferences:
Bodenheimer, T., & Grumbach, K. (2012). Understanding health policy: a clinical approach (6th ed.). New York, NY: McGraw-Hill Medical.
"Key Features of the Affordable Care Act by Year." (n.d.). Features of the Health Law.
Retrieved from U.S. Department of Health & Human Services website: http://www.hhs.gov/healthcare/facts/timeline/timeline-text.html
Leflar, R.B. (2013, July 12). Reform of the United States Health Care System: An Overview.
Healthcare eform PPACA
Determine how this Federal law will affect market-driven and non-market driven decisions.
One of the industries that has felt the effects of the Patient Protection Affordable Care Act most immediately and intensely was the insurance industry in the United States. One of the chief reasons that the Patient Protection Affordable Care Act was introduced and passed into American legislation was the effect of rising health care costs attributed to arbitrary and non-competitive costs exacted from healthcare consumers from the insurance industry. There was a general lack of regulation within the industry, which had been demonstrated to have had a negative impact on healthcare outcomes and trends. The United States, while the largest economy and a dominant world superpower, has an underperforming healthcare industry compared to other developed, industrialized nations.
One of the central conflicts associated with the Patient Protection Affordable Care Act is related to philosophical differences of opinion about…...
mlaReferences
Gitlin, Saul. (2002) "Demystifying the Asian-American Market" Retrieved from: http://www.mrcc-online.com/presentations/Asian_American_Market_11-12-02.pdf
Greenfield, Lazar. (2010). "National Health Care Expenditures: Addressing the Cost of Health Care in the United States" Annals of Surgery. 251: 2.
Weiss, Joshua A., Medical Marketing in the United States: A Prescription for Reform. George Washington Law Review, Vol. 79, p. 260, 2010. Available at SSRN: http://ssrn.com/abstract=1748902
The SG2 report (2010, p. 9) also mentions academic medical centers (AMCs), which will have enter into affiliation agreements in order to comply with the reformed care laws. This will furthermore mean more integrated physician networks and it integration, as mentioned above.
Two further important factors are mentioned by Moyers (2010). She notes that the inclusive nature of health care definitions for occupational therapists is a significant step forward in terms of recognizing the profession as a legitimate health care service. Occupational therapy, for example, is specifically included in the "Innovations in the Health Care Workforce" section of the new legislation. This is significant, because occupational therapists will now be eligible for state workforce grants, slots on the national commission on workforce, and other similar privileges enjoyed by other health care providers.
Other items, excluded from the bill, is the second item the author mentions. She notes that one of these amendments…...
mlaReferences
Davis, P.A., Hahn, J., Morgan, P.C., Stone, J., and Tilson, S. (2010, Apr. 23). Medicare Provisions in the Patient Protection. Retrieved from: http://www.nasuad.org/documentation/aca/CRS%20Reports/April%2023%20-%20Medicare.pdf
Moyers, P. (2010, Mar. 25). What Health Care Reform Means to Occupational Therapy.
Retrieved from: http://otconnections.aota.org/blogs/moyers/archive/2010/03/25/what-healthcare-reform-means-to-occupational-therapy.aspx
Sg2 Special Report: (2010, May). The Impact of Health Reform
6% of GDP in 2002; in America, they were 14.6%, or almost double Britain's expenditure" (Klein 2005). However, this frugality means that bypass surgery, dialysis, and medications in general are much more rarely prescribed in the U.S. than in the UK. hile there is frequent criticism that the U.S. is overmedicated as a society, the opposite is likely true in the UK. In other words, is unlikely that people are so much healthier in England vs. The U.S. To justify certain statistical disparities in care: the rate for coronary bypass surgery in the UK is 20% less than it is in the U.S.
To address the problems of under-medication, recently there has been a proposal to allow drug companies in the UK with "innovative" medicines to bypass the current screening process for cost-effectiveness, as a way of expanding care. The companies could sell the drugs to the NHS at a higher…...
mlaWorks Cited
Bosely, Sarah. Scheme to let new drugs bypass NHS value watchdog. The Guardian. Retrieved July 13, 2009 at http://www.guardian.co.uk/society/2009/jul/10/pharmaceutical-companies-nhs-nice-ols
Klein, Ezra. The health of nations: Great Britain. The American Prospect. Retrieved July 13,
Not only do these practices discourage preventative care and monitoring, they also diminish the quality of the good that insured individuals are buying from the health insurance companies. Insured individuals are paying for insurance and paying for most of their healthcare costs in addition because of the exorbitant deductibles. PPACA's prohibition of these practices ultimately forces health care companies to raise the bar and give health insurance customers more value for money.
Public-Private Partnerships Prevent ureaucratization of Health Care
There are widespread misconceptions that the PPACA will provide health insurance through some government-run bureaucracy. Actually, PPACA is built on close cooperation between health insurance companies and the government. Under PPACA, the government does not operate hospitals nor does it provide medical insurance to individuals. Actually, it requires individuals to carry some form of private health insurance or suffer a penalty. The only time the government becomes involved is when an individual…...
mlaBibliography
Patient Protection and Affordable Care Act. Public Law 111 -- 148. Available at http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf
Patient Protection and Affordable Care Act - Summary. http://thomas.loc.gov/cgi-bin/bdquery/z-d111:HR03590:@@@L&summ2=m&summary
"An Analysis of Health Insurance Premiums Under the Patient Protection and Affordable Care Act,
Letter to the Honorable Evan Bayh." Congressional Budget Office. Douglas W. Elmendorf. November 18, 2009. Available at http://cbo.gov/ftpdocs/107xx/doc10781/11-30-Premiums.pdf .
Health care reform has the objective of getting more people insured, and leveraging government bargaining power to lower the cost of health care. Our organization needs to be ready for this. We have the baby boomers joining Medicare, and Medicare is seeking to lower health care costs; so are private insurers. As an organization, we need to bring our costs down in order to remain profitable. This need not be hard -- every other country in the world does it. In this context, streamlining operations, eliminating waste, bargaining with suppliers and finding ways to streamline services to increase customer turnover are all measures that I would undertake in order to ready the organization for the full implementation of health care reform. Eliminating waste is a critical component of maintaining profitability within the health care system (Berwick & Hackbarth, 2012).
Something I would do differently with respect to health care planning is…...
mlaReferences
Berwick, D. & Hackbarth, A. (2012). Eliminating waste in U.S. health care. JAMA. Vol. 207 (15) 1513-1516.
Farmer, J. & Nimegeer, A. (2014). Community participation to design rural primary healthcare services. BMC Health Services. Vol. 14 (130) [HIDDEN]
Olsen, E. (2008). SWOT Analysis: How To Perform One For Your Organization (Webcast). Virtual Strategist.
" (Arnold & Reeves, 2009). ith medical services price at the present time, illness or some kind of complicated to medical services may take people deprived of health insurance years to reimburse for bills that are medical. Furthermore, I believe that individuals who lost their jobs also are uninsured for the reason that their employer gave health insurance is no longer paying for them. I understand that based on the statistic; there are "way too many around 1 million workers that have lost their health reporting in the first three months of 2009. I think that helping people buy health insurance coverage with low-cost with offering the health plans options for the uninsured is the healthcare reform that is really needed now. In this way, individuals that are without health insurance will be able to afford paying their medical insurance to uphold their well-being.
In conclusion, with the increasing rapidly of…...
mlaWorks Cited
Arnold, P.J., & Reeves, T.C. (2009). International Trade and Health Policy: Implications of the GATS for U.S. Healthcare Reform. Journal of Business Ethics, 63(4), 34.
Belcon, M.C., Ahmed, N.U., Younis, M.Z., & Bongyu, M. (40-74.). ANALYSIS of NATIONAL HEALTHCARE SYSTEMS: SEARCHING for a MODEL for DEVELOPING COUNTRIES - TRINIDAD and TOBAGO as a TEST CASE. Public Administration and Management, 14(2), 10-14.
Bolduc, C.R. (2008). The impact of healthcare reform on HMO administrators. Hospital & Health Services Administration, 17(9), 23-45.
Reiboldt, M. (2010). The Industry Responds to the Passing of Healthcare Reform. The Journal of Medical Practice Management, 18(6), 327-328.
Health Care Reform Federal Deficit
The American Health Care Crisis and the Federal Deficit
The United States spends more than any other country on medical care. In 2006, U.S. health care spending was $2.1 trillion, or 16% of our gross domestic product. At the same time, more than 45 million Americans lack health insurance and our health outcomes (life expectancy, infant mortality, and mortality amenable to health care) are mediocre compared with other rich democracies. We spend too much for what we get.
Nothing is new about these sobering realities. The Nixon administration first declared a health care cost crisis in 1969. Four decades later, the United States still has not adopted systemwide cost controls because the politics of health care make it extraordinarily difficult to control costs. I explain below why this is so (Marmor, et al., 2009).
The starting point for understanding the politics of cost control is an axiom of medical…...
mlaBibliography
1. Eakin, Douglas and Michael Ramlet. (2010) "Health Care Reform is Likely to Widen Budget Deficits -- Not Reduce Them." Health Affairs, 29, no.6:1136-1141. Eakin and Ramlet examine the underpinnings of the Congressional Budget Office's projection that enacting the Patient Protection and Affordable Care Act will decrease deficits, and conclude that it is built on a shaky foundation of omitted costs, premiums shifted from other entitlements, and politically dubious spending cuts and revenue increases. A more comprehensive and realistic projection suggests that the new reform law will raise the deficit by more than $500 billion during the first ten years and by nearly $1.5 trillion in the following decade. This is an excellent article with regards to my article, written by two policy commentators at the forefront of their field. This article shows expertise in medical economics and offers compelling, clear arguments for the increase in the federal deficit due to the massive spending on entitlements as a result of passing the Patient Protection and Affordable Care Act. They project deficits, opposing the Congressional Budget Office, through their insightful analysis.
2. Marmor, Theodore, Jonathan Oberlander, and Joseph White. (2009) "The Obama Administration's Options for Health Care Cost Control: Hope vs. Reality." Ann Intern Med. 150:485-489. Controlling the costs of medical care has long been an elusive goal in U.S. health policy. This article examines the options for health care cost control under the Obama administration. The authors argue that the administration's approach to health reform offers some potential for cost control but also embraces many strategies that are not likely to be successful. Lessons the United States can learn from other countries' experiences in constraining medical care spending are then explored. This article offers evidence for the lack of cost containment in the Obama administrations' plans for health reform. It gives a good analysis of the international scene in health care as well.
3. Collins, Sara, Michelle M. Doty, Karen Davis, Cathy Schoen, Alyssa L. Holmgren, and Alice Ho. (2004) "The Affordability Crisis in Health Care." Commonwealth Fund Biennial Health Insurance Survey. Published in 2004, The Commonwealth Fund Biennial Health Insurance Survey, conducted from September 2003 -- January 2004, presents new and timely information on where the American public stands on solutions to reform the health care system. The survey finds widespread support for federal efforts to extend health insurance to more people, as well as a widely held belief that the financing of health care should continue to be a shared responsibility among individuals, employers, and the government. The survey also uncovered potential reasons for such strong support for health care reform. Among the insured and the uninsured alike, there is concern that health care security in the United States is eroding. People are experiencing reductions in insurance coverage that are threatening their financial security.
4. Etheridge, Lynn (1984) "An Aging Society and the Federal Deficit." The Milbank Memorial Fund Quarterly. Health and Society, 521-543. This article serves as early warning sign of the deficit battles to come. It argues that the conflict between the growing needs of an aging society and a federal budget which cannot afford its current commitments has become one of the nation's most difficult government policy dilemmas. Assistance for the elderly through Social Security, Medicare, and other programs-is already the federal government's largest fiscal responsibility. In 1985 these programs will require nearly half of all domestic program spending an estimated $256 billion. The future costs of these commitments will rise rapidly well into the next century, accounting-with national defense and interest costs-for virtually all of the spending increases in the projected $200 to $300 billion deficits. Etheridge asserts that the decisions about the nation's assistance to the elderly -- and about reaffirmation, reform, and/or retrenchment of these commitments-will thus be central to the coming budget debates.
Nursing: Healthcare ReformChanges in the healthcare system cause political and regulatory implications since the policies devised by the government to have to be followed by the healthcare professionals creating a direct impact on the quality of care and patient outcomes. For defining and measuring value in healthcare, system-wide improvements are to be made by the political policy changing so that all stakeholders could capitalize on the betterment opportunities. This paper discusses the Affordable Care Act (ACA), the changes introduced by it, and reviewing how American Nurses Association (ANA) is currently involved in the healthcare reform.The Patient Protection and Affordable Care Act (ACA) was enacted on 23 March 2010, with its first part being implemented. Additional amendments were made on 30 March 2010 to make it fairer and easier to understand for the public for having health insurance coverage more affordable. The rights and protections were discerned so that the common…...
mlaReferences
American Nurses Association. (2014, 18 June). Healthcare reform: Healthcare transformation- The Affordable Care Act and more. https://www.nursingworld.org/~4afc9b/globalassets/practiceandpolicy/health-policy/healthcare-reform-document.pdf
Cleveland, K.A., Motter, T. & Smith, Y. (2019). Affordable care: Harnessing the power of nurses. OJIN: The Online Journal of Issues in Nursing, 24(2). https://doi.org/10.3912/OJIN.Vol24No02Man02
()Davalon, B.Y. (2020, 24 October). History and timelines of the Affordable Care Act (ACA). eHealth. https://www.ehealthinsurance.com/resources/affordable-care-act/history-timeline-affordable-care-act-aca
Healthcare.gov. (n.a.). Patient Protection and Affordable Care Act. https://www.healthcare.gov/glossary/patient-protection-and-affordable-care-act/
On the contrary, a comprehensive medical care solution that tackles the main issues driving up health care costs in America is possible. The main problem experienced by the average American is that health insurance premiums are cost prohibitive for the middle-class, but being uninsured can bankrupt a family forced to deal with even a minor catastrophic illness. Therefore, a national health insurance program has to be part of the solution. However, one cannot overlook the role that unpaid medical bills and exorbitant malpractice premiums also play in the modern healthcare crises. As a result, the solution must include a way to reduce malpractice premiums through tort reform, and a way to reduce the percentage of medical bills that go unpaid. The proposed three-prong approach would tackle all of those issues, without forcing any unwilling person to participate in a nationalized healthcare program.
orks Cited
American Tort Reform Association. "Medical Liability Reform."…...
mlaWorks Cited
American Tort Reform Association. "Medical Liability Reform." ATRA Issues. 2007.
American Tort Reform Association. 6 Nov. 2008 http://www.atra.org/show/7338.
Kershaw-Staley, Tracy. "Miami Valley Hospital Files Lawsuit Over Unpaid Medical Bills."
Dayton Business Journal. 2008. Dayton Business Journal. 6 Nov. 2008 http://dayton.bizjournals.com/dayton/stories/2008/01/07/story5.html .
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…...
mlaResources, and Utilization
As a result, millions of Americans remain unable to bear the heavy financial toll of medical expenses. Indeed, the problem of a lack of insurance for many is related to the problem of the cost of healthcare. So confirms the article by Consumer Reports (CR) (2008), which finds that "health-insurance premiums have grown faster than inflation or workers' earnings over the past decade, in parallel with the equally rapid rise in overall health costs. Industry spending on administrative and marketing costs, plus profits, consumes 12% of private-insurance premiums." (CR, 1) This reiterates the case that the undue imposition of costs by the healthcare industry -- a reflection of a free-market industry with little to no regulatory oversight -- has negatively impacted the accessibility and quality of healthcare for many of the poorest users.
Moreover, these users are most vulnerable to the long-term economic damages provoked by unexpected healthcare costs. So…...
mlaWorks Cited:
Bureau of Labor Education (BLE). (2001). The U.S. Health Care System: Best in the World, or Just the Most Expensive? The University of Maine.
Childress, M. (2010). Poverty is on the Upswing, but Metric is Out of Date. The Washington Independent.
Cockerham, W.C. (2004). Medical Sociology and Sociological Theory. The Backwell Companion to Medical Sociology.
Consumer Reports (CR). (2008). High Health Care Costs. Consumer Reports Health.org.
He further goes on to say that, "I am my brother's keeper and I am my sister's keeper" to bolster this point.
In a separate interview, epublican National Committee chairman Michael Steele refutes Obama's speech and maintained that Obama's call for healthcare reform as moral obligation is simply a "gimmick" and Obama's choice of going as far as this means that the White House is running scared as it needs to financially shore up its base.
The article closes on White House's denial that Obama is preparing to initiate a government-run "public option" for healthcare that will compete against private healthcare companies. As a matter of fact, Obama is working on the intensification of his healthcare reform call by reaching the channels of grass roots supporters via online and telephone meeting.
eference
Collinson, Stephen. "Obama makes moral case for health reform." 20 Aug. 2009. Yahoo! News.
9 Sept. 2009....
mlaReference
Collinson, Stephen. "Obama makes moral case for health reform." 20 Aug. 2009. Yahoo! News.
9 Sept. 2009.
Healthcare reform is a hot topic because healthcare remains prohibitively expensive for so many people in Florida. While the Affordable Care Act has expanded access to healthcare for many people, the reality is that healthcare remains prohibitively expensive for many people. Between the cost of insurance premiums, deductibles, and out-of-pocket expenses, basic healthcare can cost people thousands and thousands of dollars a year, with much higher expenses if people experience healthcare challenges requiring care.
Florida benefitted substantially from some of the federal healthcare reform laws. For example, Floridians cannot be denied healthcare coverage for a pre-existing....
Certainly! Here are some essay topics on Donald Trump:
1. Analyzing Donald Trump's presidency: Successes, failures, and controversies.
2. The impact of Donald Trump's immigration policies on the United States.
3. Donald Trump's approach to foreign relations: An examination of his diplomacy strategies.
4. The role of social media in Donald Trump's political communication.
5. Investigating the economic policies and their effects during Trump's presidency.
6. Donald Trump's impact on the Republican Party: Transformation or deviation?
7. The rise of populism and its connection to Donald Trump's presidential campaign.
8. Analyzing the media's portrayal of Donald Trump's administration: Bias and influence.
9. A comparative study: Donald Trump and previous....
Certainly! Here are some essay topic ideas related to Barack Obama:
1. Analyzing the major accomplishments and legacy of Barack Obama as President of the United States.
2. Exploring the challenges and obstacles faced by Obama during his presidency and evaluating his responses.
3. Investigating the impact of Obama's healthcare reform, the Affordable Care Act (ACA), on the American healthcare system.
4. Discussing Obama's approach to foreign policy, focusing on significant events such as the Iran nuclear deal or the Paris Climate Agreement.
5. Examining the Obama administration's efforts to address climate change and promote clean energy.
6. Assessing the economic policies and strategies implemented by....
1. The Evolution and Challenges of Healthcare in 2020
2. Innovative Technologies Shaping Healthcare in 2021
3. The Impact of COVID-19 on Healthcare Systems in 2020
4. Addressing Health Disparities in 2021: A Call for Action
5. Telemedicine: The Future of Healthcare Delivery in 2020 and Beyond
6. Mental Health Awareness in the Era of Healthcare 2021
7. From Crisis to Opportunity: Resilience in Healthcare in 2020
8. The Role of Nurses in 2021: Advancing Healthcare Excellence
9. The Importance of Preventive Care in Healthcare 2020
10. Integrating Artificial Intelligence in Healthcare for Better Patient Outcomes in 2021
11. Telehealth Revolution: Expanding Access to Care in 2020/2021
12. Equity in....
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