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Health Reform Summary

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Chapter 10 starts off in identifying the complexity involved in carrying out a general health reform in the United States. It discusses the multiple failed attempts at national health reform over the last century. The factors which our textbook lists as barriers to social reform include “the country’s culture, the nature of U.S. political institutions, the power of interest groups, and path dependency” (Teitelbaum & Wilensky, 2017, p. 170). It then evaluates how health reform was enacted in 2010. The statement that caught my attention this week was reference to how “a ‘critical moment’ appeared, and President Obama took advantage of the circumstances to push through the health reform bill. Although path dependency suggests that inertia …show more content…

These are all health insurance products which “help serve society’s low-income, elderly, and disabled populations” (Teitelbaum & Wilensky, 2017, P. 199). All three of these programs are very complex as the role and structure they possess varies significantly. Health insurance programs are always changing, and I must admit that it is hard to keep up with all the changes. The one program which I think patients have the most issues understanding is Medicare, especially when it comes to Medicare Advantage plans. Medicare Advantage plans “cover all Part A and B services and many offer additional services such as eyeglasses, hearing exams, and gym memberships as an inducement to enroll” (Teitelbaum & Wilensky, 2017, P. 222). Some patients do not comprehend that if they opt for a Medicare Advantage plan, then they no longer have traditional Medicare coverage. They have a hard time understanding the premiums and copayments involved in their care. As current or future providers of healthcare services, we must strive to become knowledgeable in this arena not only for our own sake, but also for the sake of our patients as the changes will continue throughout

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The US Healthcare system is known for its difficult obstacles to work around. Throughout the article, the audience can see how the author Claire Parker uses Ethos, Hasty Generalization, and Definition to provide a clearer understanding of the Health Care system and its flaws. Parker uses the rhetorical device Ethos to emphasize the importance of United States citizens that do not have access to health insurance. The director of the Global Health Policy Center, J. Stephen Morrison, notes that countries smaller than the US “benefit from a stronger societal consensus around the place that health occupies in the social compact.”

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It depends on “multiple insurers and plans competing for customers.” When the coverage changes, people will struggle with “higher payments for increasingly restricted services”, which is even worse in many situations. Unlike McCardle’s solution is having both the universal and the free market plan for healthcare, Chaufan focused on just the free market one, which she continued to evaluating the pros of Medicare, or the single-payer system. First of all, it covers for everybody whether documented or not, on every needed services. Also, patients will have the choice in providers, which is more beneficial.

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Medicare is a federal government administered healthcare program originally implemented on July 1, 1996. Medicare has four parts (A, B, C and D) that provide different areas and differing levels of coverage. All Medicare programs provide coverage for cover healthcare services to qualifying individuals, known as beneficiaries, which includes Social Security beneficiaries over the age 65, people under 65 with certain disabilities, and people of all ages with end-stage renal disease. Each program provides coverage for medically necessary care and services to covered beneficiaries and has deductibles or copays for covered services. Medicare Part A, Medicare Part B and Medicare Part C all provide coverage for medical services.

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“Healthcare Reform 101,” written by Rick Panning (2014), is a wonderful article that describes, in an easy-to-understand language, the Patient Protection and Affordable Care Act, signed into law March 23, 2010. The main goal of the Patient Protection and Affordable Care Act was to provide affordable, quality healthcare to Americans while simultaneously reducing some of the country’s economic problems. Two areas will be covered throughout this paper. The first section will include a summary of the major points and highlights of Panning’s (2014) article, including an introduction to the ACA, goals of the signed legislation, provided coverage, and downfalls of the current healthcare system. The second part will be comprised of a professional

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685 Words | 3 Pages

Understanding Medicare Part D (Prescription Drug Coverage) the benefits of Medicare, a significant healthcare program, that provides comprehensive benefits to retirees in order to fulfill their healthcare needs cannot be overemphasized enough. There are several parts to the program based on specific healthcare needs including Part A, B, C, and D. While every plan has specific advantages, it is important to understand the plan D in detail before deciding to opt for the Medicare prescription drug coverage. In this article, we are going to discuss the specifics and benefits of Medicare Part D in more detail. Specifics and benefits of Medicare Part D

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A Second Look at the Affordable Care Act David E. Mann, ABA American Military University POLS210 Abstract Since the passing of the Patient Protection and Affordable Care Act (PPACA), twenty-eight states have either filed joint or individual lawsuits to strike down the PPACA. This document will examine a few key elements that the President of the United States must take into consideration when reviewing the act and moving forward to either ratify the act, replace the act, or leave the act as it is. Topics that will be presented will include; the current issues being debated, two competing thoughts on how to fix the ACA, an evaluation of the preferred solution, and finally the responsibility of each level of government. Patient

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In the United States, Medicare is the program supports people over age 65 with medical care. It also provides support for persons with certain disabilities and people of all ages who have kidney failure. Medicaid is a state administered program that provides medical support for a broad range of people. However, each state administers Medicaid individually and this creates inconsistencies in the program across the country. There are specific rules for judging just how much money someone receiving Medicaid can make and be eligible.

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I enjoyed reading your discussion post and I find it very informative. Medicare is an insurance plan provided by federal government for persons who are age 65 and older, totally disabled, and someone with end-stage renal disease (Touhy & Jett 2012). Your patient interestingly brought up some great points about medicare. It is sad to know that retired people have to deal with the financial hurdle of medicare. It can be very disappointing, because of the added premiums and uncovered medical bills.

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1437 Words | 6 Pages

The expansion of Medicaid through the implementation of the Affordable Care Act (ACA) has initiated many states to try innovative ideas to improve their Medicaid programs. Many states, like Minnesota, had started the reform process prior to the passage of the ACA with the purpose of improving the quality of care for Medicaid beneficiaries and to utilize a more cost-effective system to provide Medicaid benefits. One of the innovative ideas that states like Minnesota is implementing is the use of accountable care organizations (ACOs). This paper will explore ACOs by studying the reforms within the Minnesota Medicaid program. Background Medicaid was originally established by the government to provide medical services and payment for individuals

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As President Donald Trump said, “…who knew healthcare was so complicated?” I don’t know President Trump…maybe all the insurers, hospitals, providers and anyone who has had to navigate the healthcare system ever! The eight presidents prior to you, who have attempted to tackle, wrangle, clarify, fix, or enact anything that could reform the healthcare system over the course of the past half-century or more have failed to do so. In 2010 the Affordable Care Act was passed, notoriously known as ObamaCare.

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Medicare is a federal health insurance program designed to provide coverage for people who are 65 years or older, as well as those with certain disabilities or chronic conditions. Medicare offers several different parts that provide coverage for different types of services. In this post, we will explain the four parts of a Medicare health plan. Part A: Hospital Insurance Part A is the portion of Medicare that covers hospital stays, hospice care, and skilled nursing facility care. Most people who have paid Social Security taxes for at least 10 years are eligible for Part A without having to pay a monthly premium.

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The real debate is how can we accomplish the goal of universal healthcare in the most affordable and sustainable way. The United States is evaluated as a wealthy country, yet there are more penurious countries who provide health maintenance, paid through higher taxes. “In the United Kingdom and other European countries, payroll taxes average 37% - much higher than the 15.3% payroll taxes paid by the average US worker” (Gregory). With this data, the only reform would be to end the private health insurance companies of dominant health services, and incorporate a single payer system. Conversely, it is factual that taxes will rise, but the implementation of universal healthcare will better the health of American citizens.

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Health Care in the US is arguably available to all who seek it but not everybody has had the same experience and treatment when walking through the doors of a healthcare facility. In many cases, people are discriminated against due to their gender, race/ethnicity, age, and income and are often provided with minimal service. Differences between groups in health coverage, access to care, and quality of care is majorly affected through these disparities. Income is a major factor and can cause groups of people to experience higher burden of illness, injury, disability, or mortality relative to another group.

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Many Americans were led to believe that the introduction of the Patient Protection and Affordable Care Act in 2009 would put an end to disparities in health care access. While it did improve the situation for a small percentage of the population there are still many Americans who lack access to good quality health care. Health care access in America is determined by money and those in lower socioeconomic groups frequently tend to miss out on adequate care. In a recent health care report by the national health research foundation Kaiser Family Foundation, it was noted “health care disparities remain a persistent problem in the United States, leading to certain groups being at higher risk of being uninsured, having limited access to care, and experiencing poorer quality of care” (Kaiser Family Foundation). The current health care

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Health care should not be considered a political argument in America; it is a matter of basic human rights. Something that many people seem to forget is that the US is the only industrialized western nation that lacks a universal health care system. The National Health Care Disparities Report, as well as author and health care worker Nicholas Conley and Physicians for a National Health Program (PNHP), strongly suggest that the US needs a universal health care system. The most secure solution for many problems in America, such as wasted spending on a flawed non-universal health care system and 46.8 million Americans being uninsured, is to organize a national health care program in the US that covers all citizens for medical necessities.

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