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Medicaid Relates To Social Work Practice: A Case Study

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Medicaid relates to critical race theory in how many low income individuals are able to access health care nationwide. According to PBS News Hour (2015), “ In California, 3 million more people than expected have enrolled in Medicaid, but that success has exacerbated longstanding shortages of some kinds of care” (para. 1). This directly relates to social work practice in that I could have client’s that will be affected with the changes. People could have a hard time trying to find providers in their areas for their specialty needs, that will also take Medicaid as payment. Most providers do not want to take Medicaid patients because they will not get paid enough for each patient compared to private health care payment. There are some doctors
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Background statement: Heritage Valley Medical Center has had a wonderful reputation for providing excellent health care services to their community. Initially, their community was 80% Caucasian, 40% African American, and 5% Hispanic. However, in the last 5 years, the population has changed to more minorities and the whites have moved out to the suburbs. This caused the Center’s occupancy rate to go down 40% because many of their traditional, more affluent, private-pay patients had left the neighborhood. To bring in revenue, they campaigned to bring in more Medicaid patients.

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Facebook page of the Alamo Area Branch of the National Association of Social Workers - Texas Chapter provides the followers with links to several interesting articles about issues related to health care in Texas. For example, the article from “The Dallas Morning News” about the Austin Regional Clinic’s policy states that children in the care of its doctors and staff will need to be vaccinated in order to use its services, therefore prohibiting unvaccinated patients at this clinic. Another link comes from “The Texas Tribune” and explains the reasons for Medicaid expansion in Texas, such as Children Defense Fund and rural hospitals that rely on federal help in order to serve large uninsured populations there. Other theme relevant for social work practice relates to possible reductions in Social Security Disability Insurance for its beneficiaries in 2016.

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The Journal of Primary Care and Community Health states, “Physicians delay diagnostic testing, prescribe more generic medications, and avoid referral to specialty care for their patients of low SES versus other patients.” With these staggering results this proves the separation and racism within the medical field. People of color and those who are not as well off, are forced to handle these poor conditions for treatment, while those who are white and with more money are more inclined to get better care and medication. This is the issue with today’s health care because it does not treat every person equally, there is a huge amount of favoritism within the

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According to the nonpartisan Congressional Budget Office, recent Republican block grant proposals could cut Medicaid spending by as much as a third over the next decade. The cuts would start small, growing larger over the years (Mahan, 2). Although the reduction of federal spending may seem appealing to some, this in turn could have a ripple effect on the various Medicaid services currently being provided. To put it plainly, under block grants, states could very well find themselves having to cut certain services due to lack of

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that do not admit Medicaid patients always assign a limited number of beds to the recipients. Some facilities have long waiting lists for Medicaid recipients, and these constraints access to the benefits. The Medicaid recipients often end up in facilities that are considerably less desirable for myriads of reasons. In conclusion, those that depend on Medicaid for meeting their long-term needs often lose their assets and financial independence. They also have limited choices of types of care facilities.

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To qualify and receive Medicaid, one of the criteria’s are to be poor and pregnant, which is also state funded. The funding cut from Planned Parenthood, will be used in other areas involving female medical services. Some are also wondering what

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Socialized medicine is a form of medical insurance that is available to all lawful citizens that the government covers. Throughout the United States 21.3% of the population receive benefits from the government due to their financial situation. Consequently, such benefits are not available for all citizens and may be difficult to qualify for. Moreover, Government-run programs are often cheaper, more administratively efficient, and even of superior quality than privately-run programs at the national level. If the United States began offering socialized medicine, there would be a slight rise in taxes in order to cover the 82 million dollars in costs.

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To help cover this expense, Medicaid, a critical government assistance program, provides medical coverage to those low-income individuals and families. This ensures that essential health services such as doctor visits, hospital stays, prescription drugs, and other services are available. Medicaid is intended to promote the overall well-being who would otherwise face significant financial challenges to accessing critical medical treatment, limiting their capacity to seek higher education and job progression. Medicaid assists employees in this by providing a healthcare safety

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Medicaid expansion is still somewhat confusing to me, however I do have an understanding of the requirements such as the income falling between 0-400 percent of the federal poverty level. I also understand that this has become an issue of disparities between states due to expansion. I am partial to each state being able to decide the best options for their citizens. As you stated Emily, I can see how the decision of the state such as whether to expand or not to expand can cause harm to the constituents. I disagree with the philosophy of covering “able-bodied” poor.

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Explain how your changes will impact those middle income families who want and can afford premium coverage. The changes and recommendations proposed above are not being put in place to stop those middle income families who want and are able to afford premium coverage from getting the type of coverage they want or decide they need. The purpose of these recommendations and changes is really to bridge the gap for low income families in terms of purchasing and receiving health care. However, these initiatives will impact middle income families, even though they can afford premium insurance coverage, they might not be able to access their chosen doctors due to increased demands on doctors (Atlas, 2015).

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On the other hand, supporters show through statistics that Medicaid, with the latest addition of Obamacare, has benefited up to 17 million Americans since 2013. The big improvement allowed many people to be insured under the health care umbrella, they argue. Furthermore, ACA has drastically reduced the amount of people without health insurance in half a century. Despite the growth of people insured with Obamacare, the latest study by Moody’s Investors Service claims that nonprofit hospitals under this expanded Medicaid are unsatisfied with the results thus far. Instead of a result of reduced debt and monetary progress at hospitals, they face unpaid bills, and Americans paying out of their own pockets, the study says.

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A mogul in both the welfare and healthcare systems, Medicaid has a large margin of financial abuse from both sides of the spectrum; healthcare providers and patients alike, both misuse and abuse Medicaid. “Fraud and abuse in Medicaid cost states billions of dollars every year,

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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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Chapter four, analyzes the conceptualization and measurements of social work practice and research. Being able to collect data and gather information is important for a social worker to comprehend. When evaluating a client, the social worker must want to set goals and objectives, which can be translated into something measurable. When designing and reviewing a research study the social worker wants to make sure to apply the correct concepts and measurements, which are important in order to evaluate the validity of the data. When collecting data for practice or for research, one will want address the issue first of conceptualization.

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