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Universal healthcare does not provide adequate access to primary care and preventive services. Patients under Medicaid program find it extremely difficult to access healthcare system. Physician participation in Medicaid has been hampered by their lower payment rates relative to private insurance. Primary care physicians, medical, and surgical specialists are especially not so keen on participating in Medicaid. This reduces enrollees' access to medical care.
Medicaid patients with non-ST segment elevation acute coronary syndrome (NSTSE ACS) are less likely to receive evidence based therapies compared to patients under private insurance who benefit...
A major predictor of treatment and outcome is whether a patient has Medicaid or private insurance. Scheduling adequate and timely follow-up after initial treatment is a major issue for patients under universal care as opposed to patients who are privately insured. High cost of Medicaid unfortunately translates into enrollees' limited access to care, poor quality of care, and inadequate follow-up care (O'Shea, 2007).
References
Donovan, C. (2011). HHS's New Health Guidelines Trample on Conscience. The Backgrounder,
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Feldstein, M. (2009). Obamacare Is all About Rationing. The Wall Street Journal, pp. 1-2.
Graham, J.R. (2010). Should Your State Establish an Obamacare Health Insurance Exchange?
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