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Insurance mandates are another important consideration in connection with proposed healthcare reforms. Tumulty references the Clinton administration's failure to achieve universal healthcare coverage largely because of the insurance mandate issue. The principal fear is that employer mandates would trigger the collapse of many small businesses (in particular), as well as increase the national unemployment rate. On balance, it would seem that the opposition has failed to explain exactly why individual healthcare insurance mandates could not be implemented by state law, especially with appropriate waivers based on insufficient income.
The fourth dilemma outlined by Tumulty relates to the difficulty of defining health care coverage and criteria within the universal coverage concept. Admittedly, doing so requires complex analyses and decisions, but that may very well be preferable than the current situation. Specifically, today, equally complex analyses and decisions are left to the private insurers who have a profit motive and an obvious conflict of interest.
Finally, Tumulty addresses the need to reduce the cost of modern medicine. The author correctly points out the importance of reducing the funds and other resources wasted under the current healthcare delivery model. She also accurately states the fact that the fee-for-service model used in the U.S. is tremendously inefficient and wasteful. Regardless of the resolution of other important...
Furthermore, effective healthcare reform must perfect record-keeping functions and information-sharing protocols to ensure that tests and treatments are not duplicated unnecessarily and at great financial cost. Finally, Tumulty correctly mentions the importance of a greater emphasis on comparative-effectiveness research to identify the most effective and cost-effective therapeutic approaches. Ultimately, the fifth dilemma addressed by Tumulty is the best presented. The other four analyses outline the basic concerns but seem to have left out fundamentally important factors, mainly in relation to the amount of costs savings and expanded care that depend on restricting the role of private insurers. As long as that issue is resolved, it matters much less whether it is achieved through competition in the form of a public option or by tighter regulations such as profit maximums and reduced authority over coverage decisions.
According to Karen Tumulty's article, successful U.S. healthcare reform may depend substantially on five major issues that she characterizes as
Factory Farming, Morality, And Vegetarianism Among the shocking facts linked to the issue of factory farming -- in addition to the appalling practice of cattle jammed into feed lots "…shoulder to shoulder knee deep in their own excrement" -- is that every second of every day an estimated 650 animals are slaughtered (Henning, 2011). Moreover, Henning reports that more than 56 billion animals are slaughtered annually and while this global blood-letting
Nursing profession is among the oldest in history. Currently, there is much debate that surrounds the profession because of the need for more trained nurses. In recent years the nursing shortage has become a major problem for the medical profession and has resulted in poor patient care and slower patient recover. The purpose of this discussion is to provide an in depth examination of the nursing profession. We will discuss
As Geisel (2004) notes: Income-tax deductions are worth the most to high-bracket taxpayers, who need little incentive to save, whereas the lowest-paid third of workers, whose tax burden consists primarily of the Social Security payroll tax (and who have no income-tax liability), receive no subsidy at all. Federal tax subsidies for retirement saving exceed $120 billion a year, but two thirds of that money benefits the most affluent 20% of
" (Dietz, 1998). Obese children are often taller than their non-overweight peers, and are apt to be viewed as more mature. This is an inappropriate expectation that may result in adverse effects on their socialization. (Dietz, 1998). Overweight children and adolescents report negative assumptions made about them by others, including being inactive or lazy, being strong or tougher than others, not having feelings and being unclean. (American Obesity Association, 2000). This
As emotionally intelligent employees are reportedly more content, conscientious and committed in the workplace, businesses and organizations are repeatedly advised to recruit and retain these individuals. Abraham (2006), nevertheless, reports that the strongest findings emerging from her study was.".. The effect of job control on emotional intelligence." She contends that emotionally intelligent employees will not just naturally thrive in their workplace; that the work environment needs to provide independence in
Conclusion Abortion from a purely moral or ethical perspective can never be endorsed. However, in some medical conditions where the life of the mother is at stake abortion as a life saving intervention is certainly approved. Also in cases where the pregnancy is due to sexual victimization the woman has the right to decide about abortion. Irrespective of the methods used abortion leaves a great psychological stigma and guilt feeling. The more