Mental Health the Recent Changes Research Paper

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In the future, this will improve quality and it will reduce the total number of uninsured. This is when productivity and the standard of living will improve by proactively addressing these issues while they are small.


To deal with any potential challenges left behind from the Affordable Care Act requires looking at alternatives which can be augmented with the law. The various options that are available include:

Enacting provisions that apply to immigrants: The figures that were examined earlier in the table titled Immigration Status and the Percentage without any Health Insurance Coverage. They are showing that naturalized citizens and non-citizens do not have any kind of health care coverage. Inside the group of non-citizens are illegal immigrants. According to the Pew Foundation, they determined that the total number of illegal immigrants among this group is accounting for 28% of the population. (Lee, 2012)

Moreover, the Department of Homeland Security determined that this segment is rapidly increasing in size with the saying, "An estimated 11.5 million unauthorized immigrants resided in the United States as of January 2011. The estimates, released in March 2012, suggest that the unauthorized population is virtually unchanged compared to the revised 2010 estimate of 11.6 million. The largest shares of the 11.5 million unauthorized immigrants resided in California (25%), Texas (16%), and Florida (6%). Arizona and Georgia -- two states that recently passed immigration enforcement laws -- are home to 3% and 4% of the nation's unauthorized immigrants, respectively. Between 2000 and 2011, Georgia's unauthorized population nearly doubled (from 220,000 to 440,000 or by 95%), while the population in Arizona increased by 9% during the same period (from 330,000 to 360,000). These figures can be compared to 36% growth between 2000 and 2011 at the national level." The different numbers are showing how the illegal immigrant population is continuing to increase. (Lee, 2012)

To prevent these trends from leading a rise in the total number of uninsured requires having some kind of program that will offer them with low cost health solutions. One possible approach is to enact provisions that require select nonprofits and charities to work with these individuals. They can go to different locations and offer them with free health care services and establish some kind of regular screening procedures. This will have positive impacts on costs, political feasibility, administrative ease, fairness and timeliness. (Lee, 2012)

Create periodic Congressional reviews: Another possible option for dealing with potential disparities is to establish a system of accountability. One approach is to implement a consumer protection agency that will monitor health care costs and trends. Anything that is adversely affecting different stakeholders is presented to Congress in the form of an annual review. This is when they are examining the effects of the law and implementing slight changes that will address any kind disparities for the uninsured. If this kind of approach is taken, it will improve vigilance and the ability of administrators to respond to critical challenges. ("Periodic Review," 2012)

These techniques have been used by officials in the UK to identify and deal with new issues inside the health care sector. The results are that there is improved monitoring for costs, quality and customer satisfaction. Over the course of time, this has enhanced the system's ability to identify and address the most pressing needs for consumers. Moreover, it will also offer a number of long-term advantages including: costs reductions, enhanced benefits, political feasibility, administrative ease, fairness, improved compliance with legal provisions and timeliness. ("Periodic Review," 2012)

Create programs that will offer additional assistance to minorities and low income families: This is when community nurses and nurse's aides will work in locations where there are high levels of these groups (such as community health centers). The basic idea is to educate and inform patients about health care related challenges. This means discussing with them the different problems they need to be aware of and offer solutions. (Wolf, 2008)

For instance, professionals in this program could provide referrals to families about other services that are available. This will help the most vulnerable segments by offering them with cost effective and flexible solutions that will address these challenges over the long-term. This will create a number of advantages that are dealing with the root causes of these problems. To include: cost-benefits, political feasibility, administrative ease, fairness, improved compliance with legal provisions and timeliness. (Wolf, 2008)

This process will have a positive impact on the uninsured. The way that this will occur by saving lives, as improved access to these services will reduce the possibility that conditions are allowed to go undiagnosed for long periods of time. For example, a study was conducted by Families USA. They found that the total number of people who die from not having access to affordable health care services is 26 thousand per year. These figures are up from 2005, when they were coming in at 20,500 cases for this demographic. (Morgan, 2012)

Commenting about what was occurring the report observed, "Lives are truly on the line. If the Affordable Care Act moves forward and we expand coverage for tens of millions of people, the number of avoidable deaths due to being uninsured will decrease significantly. The reform law would extend coverage to more than 30 million Americans who are uninsured. The uninsured get healthcare about half as often as insured Americans. There is an overwhelming body of evidence that they get less preventive care, less chronic disease care and poorer quality hospital in-patient care. The number of uninsured will continue to rise without reform as healthcare costs accelerate, employers scale back on benefits for their workers, and the social safety net frays under fiscal pressures." (Morgan, 2012) These comments are showing how the Affordable Care Act can address the large number of challenges impacting the uninsured.

This will improve quality by providing routine services that will screen and identify chronic conditions. During this process, is when cost will decrease, patients are more educated and the levels of health are enhanced. If these provisions, were offered to other segments that are overlooked by the Affordable Care Act. There will be an increase in the total number of lives that are saved. This is because everyone is aware of possible health related issues and will do what is necessary to address them. It is at this point that they can deal with any challenges and increase their longevity. (Morgan, 2012)

Side by Side Tables of the Alternatives

To determine the best alternatives the below table is comparing the above approaches with each option that was provided for the analysis

Contrasting the Different Options


Benefits and Drawbacks

Enacting provisions that apply to immigrants

This will directly deal with the number of uninsured who are ignored by the Affordable Care Act. However, the implementation of this program will face political and legal challenges.

Create periodic Congressional reviews

This will require lawmakers to continually addressing the new challenges that are arising inside the sector. In the future, this prevents costs from running away by dealing with any kind of disparities.

Create programs that will offer additional assistance to minorities and low income families

This process will have community nurses working with the most vulnerable segments. These approaches are popular based upon the government's limited involvement. At the same time, the resources that are being utilized are not increasing costs and they are dealing with critical challenges which are impacting the sector. However, the biggest drawback is that these solutions will not last over the long-term. This is because charities will cut back on funding to different programs based upon economic considerations. Over the course of time, these reductions will create disparities when this happens.


The best approach is to have Congress conduct an annual review of possible challenges impacting the health care sector. This is because there are rapid changes to the system. These transformations will create new issues that must be addressed. Those nations that do not have any kind of review process in place will not understand the problems they are facing or how to fix them over the long-term. It is at this point that disparities will become more extreme (which is leading to a rise in health care costs and the total number of uninsured). ("Annual Report and Accounts," 2012)

If Congress is able to review the sector on an annual basis, they will understand the challenges and what steps need to be taken. This will enhance quality and it will make the system more flexible. Over the long-term, this will improve the ability of professionals to treat different conditions and prevent any kind of disparities. ("Annual Report and Accounts," 2012)

For example, in the UK there is the Periodic Review that is conducted every year. This is designed to examine for quality and any kind of challenges impacting the sector. During the process, there is an emphasis on: registration, enforcement, inspection and care. These findings are reported to the Care Quality Commission. They will implement…

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