¶ … payer healthcare systems: Pros and cons
One of the most controversial concepts in American health care is the idea of single-payer health insurance, or the notion that healthcare will be supported by taxpayer dollars, versus funded by private insurance companies. In many Western industrialized nations such as the United Kingdom and Canada, the concept of single payer-health insurance is the norm and embraced by the majority of the population. In the United States, the rhetoric of socialism and state support has caused people to fear the concept. Even the Affordable Care Act (ACA) was painted by some aspects of the media as a move towards a single-payer system because it exerted somewhat greater control over individual's health-related choices, such as mandating that all American citizens have health insurance. However, the ACA was far from socialized medicine given that it continued to ensure that the majority of Americans not on Medicaid or Medicare obtain health coverage from private insurance companies.
Support for single-payer health insurance has been weak the United States, even in relatively politically liberal areas. According to McDonough (2015), the state of Vermont has come closest to implementing a single-payer system. In 2010, Governor...
In 2014 election, Shumlin won the election only by a razor-thin margin, however, and his opponent had capitalized upon Shumlin's support for single payer insurance in a negative fashion. The ACA was extremely unpopular at the time and polls suggested that only 40% of Vermont residents supported a single payer system, despite the state's reputation for liberalism (McDonough 2014). Shumlin cited his withdrawal of support for single-payer insurance based upon a controversial 2014 state review of the issue which "predicted 1.6% savings over 5 years and foresaw required new taxes of 11.5% for employers and up to 9.5% for individuals" (McDonough 2015).
The most successful state healthcare reform initiatives have been examples such as Massachusetts, which created a system of universal healthcare long before the ACA. "Massachusetts enacted several reforms to the private insurance market including, requiring guarantee issue, whereby insurers have to issue plans to any eligible applicant regardless of health status, and community rating, which allows for only limited variation of policy price within a given area and prohibits insurers from charging people more based on their health status or claims history" ("Massachusetts Healthcare Reform," 2013). In a manner very similar to the federal ACA, it enabled residents to purchase health insurance on a statewide exchange, expanded subsidies to specific groups, and also created an individual mandate to have insurance for state residents ("Massachusetts Healthcare Reform," 2013). Massachusetts now has the lowest number of insured residents in the nation; however, it has not been able to curtail healthcare costs. "Per capita…
Transparency empowers consumers to become better shoppers. Economists assert that transparency stimulates productivity, for example, in exchange for money, one individual obtaining fair value. In every aspect, except healthcare, Davis points out, transparency, is supported. The contemporary dearth of transparency in healthcare has led to many Americans not being able to effectively shop for the best quality of service at acute care hospitals. Davis argues that transparency permits consumers,
Health Care Reform: 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
(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
The amendments have had practical impacts such as repealing the tax mandate of the employer, health insurance tax of small businesses and decreasing the burdens on individuals and businesses. The compliance cost for small business owners has risen by 36% higher than that of larger corporations. Similarly, the average U.S. citizen has already been overtaxed. Since the passing of the Affordable Care Act, Americans have not enjoyed the benefits that
Health Care Reform Policies, whatever their nature, constitute very significant aspects to the entities over which they are supposed to act upon. These principles, in their roles of guiding decision making and governing the outcomes of such processes are so vital, especially when properly adopted by the concerned parties. This aspect applies to both the private and the public sector, a case in point being the health care reform policy. Health
Health Care Reform Recommendations Healthcare Reforms and ObamaCare The healthcare system in the United States is not a healthy system, but one fraught with problems which could cause a catastrophic failure. In order to prevent the collapse of the American healthcare system, for years experts have made recommendations in the hope that government officials would implement them. It was not until President Obama pushed through his healthcare bill, called the "Patient Protection