Issues Driving Change in Healthcare
Healthcare is driven by policy changes like those embedded in the Affordable Care Act, by shifting social norms and attitudes towards healthcare, and by demographic changes such as the aging population. The Affordable Care Act was revolutionary in that it mandated universal coverage but still fell short of transforming the ethos of a market-driven healthcare system. As a result, the Affordable Care Act did not lead to appreciable changes in insurance structuring. The Affordable Care Act did, however, instigate a new dialogue about the ethics, role, and function of healthcare in America. Social norms also drive change in the healthcare system. In fact, the Affordable Care Act itself helped change social norms and values, helping more Americans understand the importance of improved efficiency and reducing healthcare disparities. As social norms and values change, it may be possible to imagine a future in which Americans no longer tolerate the excessively high costs of healthcare that are directly due to insurance bloating. Finally, demographic changes including an aging population and increased diversity throughout the country means that the nature of healthcare delivery is changing. Healthcare change is driven from the top down, through changes to fiscal and healthcare policy, and by the bottom up, by individuals, families, communities, and healthcare workers too.
Two effects of the Affordable Care Act include improved coordination of care, which is also aided by technology, and cost controls. According to Salmond & Echevarria (2017), the Affordable Care Act’s primary goals...
References
Heintzman, J., Bailey, S.R., DeVoe, J., et al (2016). In low income Latino patients, post-Affordable Care Act Insurance Disparities May Be Reduced Even More than Broader National Estimates: Evidence from Oregon. Journal of Racial and Ethnic Health Disparities 4(3): 329-336.
Munro, D. (2014). U.S. healthcare ranked dead last compared to 10 other countries. Forbes. 16 June, 2014. https://www.forbes.com/sites/danmunro/2014/06/16/u-s-healthcare-ranked-dead-last-compared-to-10-other-countries/#294c9ee576fd
Obama, B. (2016). United States health care reform progress to date and next steps. JAMA 316(5): 525-532.
Salmond, S.W. & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedia Nursing 36(1): 12-25.
The administration and operating costs should be reduced to 20% of the premium earned. The 80% of the expenses should be spent on providing healthcare services to the holders of health insurance. The law further states that in case the insurance organizations fail to follow they are required to rebate the insurance premium to consumers. The unreasonable premium increase will not allow the companies to mint profits. They will
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Affordable Health Care Act Impact of the affordable health care act The affordable health care act, commonly referred to as Obamacare, brought a set of health care reforms aimed at making health consumers to be responsible for their health care. The act brought into law the patient's bill of rights, which gives Americans stability and flexibility in making informed health choices and decisions. Enacted by President Obama in 2010 as the Affordable
Days earlier, Democratic Senator Pat Moynihan said pretty much the same on Meet the Press. Yet the public continued to demand changes. The changes they eventually got are still to be seen, as to their level of effectiveness. Changes that many see as temporary and not far reaching enough, such as when any sort of national health care plan was squashed by the stakeholders, fearing loss of revenue and convincing
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