Healthcare Reform Essays (Examples)

Health Care eform:
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 access to health care insurance for millions of Americans. In addition to being the most controversial topic, health care reform law was the largest single legislative accomplishment of President Obama. Notably, this legislation will cost America's government approximately $940 billion over the next decade based on an analysis by the Congressional Budget Office. The office has also estimated that the law will lessen federal deficit by about $138 billion during the same period and a further reduction of the…

Health Care eform:
In March 2010, after protracted public and political debate, the Patient Protection and Affordable Care Act (PPACA) was enacted into law by President Barack Obama. This legislation was one of the many health care reforms initiatives that have sought to rectify major features of the health care system in the United States such as service delivery, care coordination, and financing. Since its enactment, PPACA is considered as a milestone along the historical continuum of health care reform in America. Generally, health care reform in the United States is an issue that has continued to evolve based on the ever-growing health care needs of the population. However, this issue has been characterized with several challenges that are mainly influenced by the public's response to reform efforts.

Principal Features of U.S. Health Care System:

The Patient Protection and Affordable Care Act (PPACA), which is commonly known as the Affordable…

(ennie; Fontanarosa, 2006)
Apart from financial reasons, millions are not bale to access healthcare due to a lot of barriers inclusive of geography, racial differences and immigrant status. The people who do not have access to required care, that might comprise incapability to get primary care chronic care, specialist care, or emergency care stand at risk for severe health consequences. As per a recent report, absence of health insurance was linked with considerably lowered application of recommended healthcare services for cancer prevention, cardiovascular disease threat reduction, and diabetes management within the lower-income as also higher-income adults. Apart from the concerns, trouble, and stress directly associated to their illness, patients those who lack insurance or are underinsured also encounter increased levels of debt, threatening calls from collection agencies, anxiety, and possible insolvency. (ennie; Fontanarosa, 2006)

Impact of reform measures on the nursing profession:

The U.S. healthcare system is considered among the…

Healthcare eform PPACA
Determine how this Federal law will affect market-driven and non-market driven decisions.

One of the industries that has felt the effects of the Patient Protection Affordable Care Act most immediately and intensely was the insurance industry in the United States. One of the chief reasons that the Patient Protection Affordable Care Act was introduced and passed into American legislation was the effect of rising health care costs attributed to arbitrary and non-competitive costs exacted from healthcare consumers from the insurance industry. There was a general lack of regulation within the industry, which had been demonstrated to have had a negative impact on healthcare outcomes and trends. The United States, while the largest economy and a dominant world superpower, has an underperforming healthcare industry compared to other developed, industrialized nations.

One of the central conflicts associated with the Patient Protection Affordable Care Act is related to philosophical differences…

The SG2 report (2010, p. 9) also mentions academic medical centers (AMCs), which will have enter into affiliation agreements in order to comply with the reformed care laws. This will furthermore mean more integrated physician networks and it integration, as mentioned above.

Two further important factors are mentioned by Moyers (2010). She notes that the inclusive nature of health care definitions for occupational therapists is a significant step forward in terms of recognizing the profession as a legitimate health care service. Occupational therapy, for example, is specifically included in the "Innovations in the Health Care Workforce" section of the new legislation. This is significant, because occupational therapists will now be eligible for state workforce grants, slots on the national commission on workforce, and other similar privileges enjoyed by other health care providers.

Other items, excluded from the bill, is the second item the author mentions. She notes that one of…

6% of GDP in 2002; in America, they were 14.6%, or almost double Britain's expenditure" (Klein 2005). However, this frugality means that bypass surgery, dialysis, and medications in general are much more rarely prescribed in the U.S. than in the UK. hile there is frequent criticism that the U.S. is overmedicated as a society, the opposite is likely true in the UK. In other words, is unlikely that people are so much healthier in England vs. The U.S. To justify certain statistical disparities in care: the rate for coronary bypass surgery in the UK is 20% less than it is in the U.S.
To address the problems of under-medication, recently there has been a proposal to allow drug companies in the UK with "innovative" medicines to bypass the current screening process for cost-effectiveness, as a way of expanding care. The companies could sell the drugs to the NHS at a…

Not only do these practices discourage preventative care and monitoring, they also diminish the quality of the good that insured individuals are buying from the health insurance companies. Insured individuals are paying for insurance and paying for most of their healthcare costs in addition because of the exorbitant deductibles. PPACA's prohibition of these practices ultimately forces health care companies to raise the bar and give health insurance customers more value for money.
Public-Private Partnerships Prevent ureaucratization of Health Care

There are widespread misconceptions that the PPACA will provide health insurance through some government-run bureaucracy. Actually, PPACA is built on close cooperation between health insurance companies and the government. Under PPACA, the government does not operate hospitals nor does it provide medical insurance to individuals. Actually, it requires individuals to carry some form of private health insurance or suffer a penalty. The only time the government becomes involved is when an…

Health care reform has the objective of getting more people insured, and leveraging government bargaining power to lower the cost of health care. Our organization needs to be ready for this. We have the baby boomers joining Medicare, and Medicare is seeking to lower health care costs; so are private insurers. As an organization, we need to bring our costs down in order to remain profitable. This need not be hard -- every other country in the world does it. In this context, streamlining operations, eliminating waste, bargaining with suppliers and finding ways to streamline services to increase customer turnover are all measures that I would undertake in order to ready the organization for the full implementation of health care reform. Eliminating waste is a critical component of maintaining profitability within the health care system (Berwick & Hackbarth, 2012).
Something I would do differently with respect to health care planning…

" (Arnold & Reeves, 2009). ith medical services price at the present time, illness or some kind of complicated to medical services may take people deprived of health insurance years to reimburse for bills that are medical. Furthermore, I believe that individuals who lost their jobs also are uninsured for the reason that their employer gave health insurance is no longer paying for them. I understand that based on the statistic; there are "way too many around 1 million workers that have lost their health reporting in the first three months of 2009. I think that helping people buy health insurance coverage with low-cost with offering the health plans options for the uninsured is the healthcare reform that is really needed now. In this way, individuals that are without health insurance will be able to afford paying their medical insurance to uphold their well-being.
In conclusion, with the increasing rapidly…

Health Care Reform Federal Deficit
The American Health Care Crisis and the Federal Deficit

The United States spends more than any other country on medical care. In 2006, U.S. health care spending was $2.1 trillion, or 16% of our gross domestic product. At the same time, more than 45 million Americans lack health insurance and our health outcomes (life expectancy, infant mortality, and mortality amenable to health care) are mediocre compared with other rich democracies. We spend too much for what we get.

Nothing is new about these sobering realities. The Nixon administration first declared a health care cost crisis in 1969. Four decades later, the United States still has not adopted systemwide cost controls because the politics of health care make it extraordinarily difficult to control costs. I explain below why this is so (Marmor, et al., 2009).

The starting point for understanding the politics of cost control is…

Nursing: Healthcare ReformChanges in the healthcare system cause political and regulatory implications since the policies devised by the government to have to be followed by the healthcare professionals creating a direct impact on the quality of care and patient outcomes. For defining and measuring value in healthcare, system-wide improvements are to be made by the political policy changing so that all stakeholders could capitalize on the betterment opportunities. This paper discusses the Affordable Care Act (ACA), the changes introduced by it, and reviewing how American Nurses Association (ANA) is currently involved in the healthcare reform.The Patient Protection and Affordable Care Act (ACA) was enacted on 23 March 2010, with its first part being implemented. Additional amendments were made on 30 March 2010 to make it fairer and easier to understand for the public for having health insurance coverage more affordable. The rights and protections were discerned so that the common…

On the contrary, a comprehensive medical care solution that tackles the main issues driving up health care costs in America is possible. The main problem experienced by the average American is that health insurance premiums are cost prohibitive for the middle-class, but being uninsured can bankrupt a family forced to deal with even a minor catastrophic illness. Therefore, a national health insurance program has to be part of the solution. However, one cannot overlook the role that unpaid medical bills and exorbitant malpractice premiums also play in the modern healthcare crises. As a result, the solution must include a way to reduce malpractice premiums through tort reform, and a way to reduce the percentage of medical bills that go unpaid. The proposed three-prong approach would tackle all of those issues, without forcing any unwilling person to participate in a nationalized healthcare program.
orks Cited

American Tort Reform Association. "Medical Liability…

(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 in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…

As a result, millions of Americans remain unable to bear the heavy financial toll of medical expenses. Indeed, the problem of a lack of insurance for many is related to the problem of the cost of healthcare. So confirms the article by Consumer Reports (CR) (2008), which finds that "health-insurance premiums have grown faster than inflation or workers' earnings over the past decade, in parallel with the equally rapid rise in overall health costs. Industry spending on administrative and marketing costs, plus profits, consumes 12% of private-insurance premiums." (CR, 1) This reiterates the case that the undue imposition of costs by the healthcare industry -- a reflection of a free-market industry with little to no regulatory oversight -- has negatively impacted the accessibility and quality of healthcare for many of the poorest users.
Moreover, these users are most vulnerable to the long-term economic damages provoked by unexpected healthcare costs. So…

He further goes on to say that, "I am my brother's keeper and I am my sister's keeper" to bolster this point.
In a separate interview, epublican National Committee chairman Michael Steele refutes Obama's speech and maintained that Obama's call for healthcare reform as moral obligation is simply a "gimmick" and Obama's choice of going as far as this means that the White House is running scared as it needs to financially shore up its base.

The article closes on White House's denial that Obama is preparing to initiate a government-run "public option" for healthcare that will compete against private healthcare companies. As a matter of fact, Obama is working on the intensification of his healthcare reform call by reaching the channels of grass roots supporters via online and telephone meeting.

eference

Collinson, Stephen. "Obama makes moral case for health reform." 20 Aug. 2009. Yahoo! News.

9 Sept. 2009.

Contracts with doctors often contain a clause which doesn't allow the doctors to discuss
Health care 7 with their patients financial incentives to deny treatment or about treatments not covered by the plan (Glazer, 1996). This has caused many consumers, especially those with chronic illnesses, to form organizations with the American Medical Association and physician specialty groups to promote legislation forbidding "gag rules" (Glazer, 1996). One group, Citizen Action, has 3 million members and "has been lobbying in state legislatures for laws that would require plans to disclose how they pay their doctors; give patients the right to choose specialists outside the plan; and provide appeals for patients who get turned down for expensive treatments" (Glazer, 1996).

The doctor-patient relationship is also affected if a patient must switch to a new doctor under managed care. Having a longterm relationship with a primary doctor is important because he or she is…

At the same time, 25% of Americans do not have any kind of health insurance coverage or not enough to pay for all of their expenses. (Amadeo) This can have an impact upon their financial well being, as a person must spend money that they do not have, to treat different conditions that could be life threatening. Once this begins to occur, is when the total number of bankruptcies will begin to rise sharply. As nearly half of all the filings that are made are: medical related, due to the overwhelming costs and the inability to pay them. (Amadeo) These different challenges are creating sudden shift in the economy that are: having short- and long-term impacts upon economic growth.
What is happening is rising health care costs are beginning to become a hidden tax on: businesses and consumers. As they are slowly eating away at any kind of added investments…

Healthcare Reform Models
Health Care Reform Models

Preventive Psychiatry

Shim and colleagues (2012) argue for taking advantage of provisions within the Patient Protection and Affordable Care Act (ACA) of 2010 that emphasizes preventive and integrated care. They propose that the primary care setting is ideal for screening patients for signs of mental illness and associated risk factors. A mental health wellness program could also include coaches and other experts that interface with patients on an individual basis, including at the patient's home.

Long-Term Behavioral Health Care

Bao and colleagues (2012) examined four patient populations defined by disease severity and ability to pay, and then assessed how these four groups will fare under the behavioral health provisions in the ACA. Patients with private insurance and suffering from mild to moderate mental illness will probably receive the best care at a Patient-Centered Medical Home (PCMH). The authors suggest that the presence of…

overwhelming connections between healthcare costs and the macroeconomic performance of the U.S. economy. The impact of healthcare industry on the macroeconomic performance is evident from the fact that in 2009 healthcare expenditure of the U.S. was 18% of the gross domestic product (GDP) of the country. It was also estimated that should the healthcare costs continue to grow at historical rates, 34% of the U.S. GDP will compose of healthcare spending by 2040 (Whitehouse, 2009). The major sources of funding the healthcare costs are the Federal, State, and local governments of the U.S. Medicare is a healthcare program that subsidizes healthcare for citizens above 65 years of age. Medicaid subsidizes healthcare delivery for people below a certain income level. Approximately 50% of the healthcare expenditure is bore by governments at the federal, state and local level. It is also estimated that Medicare and Medicaid spending of Federal and State governments…

American Health Care
After leading the world in the health of its citizens throughout most of the 20th century, the United States has fallen behind virtually all other wealthy nations in that regard, not to mention having fallen behind several nations that once relied substantially on U.S. aid (Dykman, 2008). While most of the developed world has already embraced the concept of universal government-funded national health care systems, the U.S. still relies on a for-profit model that has proven to be incapable of meeting the health care needs of society in any manner that is efficient, cost-effective, and equally available to all members of society. Even worse, the ongoing political influence of lobbyists for the for-profit health insurance industry continues to succeed in undermining meaningful health care reform (Kennedy, 2006), including by watering down the historic Affordable Care Act that eventually passed into law in 2009. Finally, the available evidence…

Uninsured Population
Insurance Premiums

Budget Deficits

Healthcare Trends

Public Opinion

"Obamacare"

The topic of this research is "PPACA- Patient Protection an Affordable Care Act." PPACA has created a great impact in the healthcare industry of United States of America. The study is based on the critical analysis of the act by reviewing the performance since its inception.

Arguably the most prominent recent healthcare reform has been PPACA (Patient Protection and Affordable Care Act). PPACA is also known as the Affordable care act and Obamacare. It was signed by the President Obama in the year 2010 in collaboration with the Healthcare econciliation Act. This act is considered to be one of the most major reforms passed in the healthcare system of United States; the last such major reform was passed in the year 1965 in the form of Medicaid.

When this provision Act was passed in 2010, there were 50 million…

Despite of the receipt of federal funding to assist in the set-up of an insurance exchange program, the Minnesota legislature is not cooperating with the Governor Drayton's plans to design a program. Instead, in a classic example of partisan politics, the legislature is going forward with its own plans to design an exchange program. In doing so, the legislature is placing the State of Minnesota in a position of possibly losing the grant provided by the federal government. According to the grant provisions, the state must show it can operate an effective exchange program by the end of calendar year 2012 or the federal government under the terms of ACA will impose a one size fits all exchange on the state. Even the state's most conservative political groups oppose this happening and advocate that the state's executive and legislative branches cooperate in formulating an acceptable state exchange program.

The effect…

Patient Protection and Affordable Care Act
On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care

Act (PPACA). This is more commonly referred among United States Citizens as Health Care eform.

This revolutionary law offers three main guarantees: First, health insurance for all American's, not just those who can afford it; Second, cost reduction in the insurance premiums for individuals and businesses; Lastly, higher quality care. On the surface, the PPACA seems all around beneficial for all

American's, but there are some aspects that need to be further analyzed. There is no doubt, this law will give those who are uninsured or under-insured, better coverage and ensure better quality health care, but there is one factor that may have been overlooked; the PPACA comes at great financial cost for citizens, will take a decade to fully implement and will be not be sustainable for generations to…

4 million young people); e) Americans that are uninsured and that have "preexisting conditions" can as of now get insurance through the "Pre-Existing Condition Insurance Program" (PCIP); f) 46 states are using Affordable Care Act resources to "crack down on unreasonable premium increases" (hite House).
There are additional benefits that result from the Affordable Care Act will come into play in 2014, according to the hite House. Those include a new competitive insurance marketplace that will be established. In that new marketplace will be state-run health insurance exchanges where "million of Americans and small businesses will be able to purchase affordable coverage" and have the same healthcare choices as "Members of Congress," the hite House explains.

As to the federal fiscal benefits from the Affordable Care Act, the Government Accountability Office (GAO) reports that healthcare reform can reduce the national debt / deficit by $145 billion by 2019 and by…

Quality of Care: Healthcare eform
Health care reform legislation is expected to reduce health care spending by $590 billion over 10 years and lower premiums by nearly $2,000 per family by slowing the annual growth rate in national health expenditures. Discuss how this savings will be accomplished and what potential sacrifices in health care delivery may be experienced. Is the figure of $590 billion when calculated over a ten-year period really a significant savings?

The Affordable Care Act (ACA) was designed to make healthcare more accessible to a wider array of Americans and also more equitable in its method of delivery. Some of its provisions included requiring all adults (with some hardship exemptions) to have healthcare or pay a penalty. The hope was that expanding the risk pool of young, healthy insured who might otherwise forgo coverage would support the costs of some of the other provisions of the bill,…

Evolution of Nursing oles in an Enlarged National Health Care System
The Affordable Care Act enables the provision of health insurance to 30 million people above the coverage figures prior to the enactment of the law. Because of this precipitous rise in the number of health insurance members, access to care as a function of the availability of primary care providers has been a leading issue in the transition to the nation-wide system of health care insurance. Public health models and nursing practice arrangements are changing in order to meet the immediate and anticipated care needs that have been brought to bear on the health care systems.

Public Health and Nurse Managed Health Centers (NMHCs)

From the earliest days of public health, the roles of nurses have been embedded in the social, educational, and political needs of communities. Health education has functioned as a springboard to community organizing, patient advocacy,…

Health Care Reform
FDR's New Deal and Lyndon Johnson's Great Society were early attempts for the United States government to play a broader role in creating more extensive social policies. More recently, when a recession pushed inflation to an all-time high, Ronald Reagan led a popular political campaign in which he pronounced that the federal government should have a smaller role in American society. He believed that socialism was an evil worth fighting. This sentiment undoubtedly caused the Clinton Presidency to fail when trying to enact a series of measures to reform Health Care. The debate has regained momentum with Obama who has enacted a health care reform bill known as the Affordable Care Act. Republicans who been vocal critics of the bill and have vowed to overturn in before its inception. This paper will introduce some of the economic mechanics that are responsible for fueling the debate.

Background on…

Medicare Health Care eform
The Medicare is an American health program that is administered by the federal government and serves as a health insurance for people aged 65 years and above. The Medicare is also designed for people with disabilities and people diagnosed with the renal disease. (Davis, Cathy, & Stuart, 2013). The Medicare is currently being funded by the premiums, payroll tax, surtax from general revenue. In 2015, over 55 million American enrolled for the Medicare services where 46 million people are people aged 65 years and above and 9 million are young people. On the average, Medicare covers half of the health costs and the enrollees are to cover the remaining costs through a separate insurance, supplemental insurance, or out-of-pocket. Since the inception of the Medicare, the cost of funding the program continues to increase, and the rising costs of funding are becoming unbearable both for the current…

Healthcare Economics
When considering the ever-changing and highly competitive economic landscape of the modern world; governments, businesses and institutions must remain diligent in their care and compassion for their citizens and staff members. With the current exponential growth and advancement of technology and the computerization of business and learning, voters, workers and consumers have become much more connected to the organizations they patronize (Kurzweil). Accordingly, these important groups are faced with the continuous task of finding new ways to understand and subsequently accommodate the needs of their followers, while simultaneously securing lucrative business models and job environments. One of the most important needs presented in all demographics is reliable healthcare. Thus, with the inelasticity in the demand for healthcare, countries need to determine an applicable system, whereby citizens can have access to the medical services they will inevitably need. Collective access to healthcare represents the main problem in field of…

healthcare reforms that have taken place in the past decade that have led to the re-evaluation of the quality as well as the cost effectiveness of health care providers. A specialty that has evolved with this trend is that of mental health/psychiatric advanced practice nurse. There is an increase in the number of the elderly people in society today. Depression is a common mental health condition in this age group. Age related psychological, physiological and social change have to be taken into consideration when it comes to making decisions that are related to pharmacological or psychological treatments that are to be implemented.in the article we can see that the common causes of mental health problems in the elderly are institutionalization, loss of friends and family, lack of support networks, decrease in hearing, vision and memory and so on.
The article highlights some of the benefits and risks electro conclusive therapy.one…

Health Care eform Effecting Public Health United States
Healthcare reform is an integral part of the United States healthcare system. Below is an evaluation of the effects healthcare reform has had on healthcare in the U.S. Internet sources as well as peer-reviewed journals will be looked at so as to see the effects.

The cost of healthcare has been on the rise. Issues of healthcare quality ought to be paid attention to and healthcare access equity improved upon (Health Care Transformation). Given these causes, while some differences exist on what reforms to carry out, a majority of Americans hold the belief that the U.S. Healthcare delivery systems need some improving. For a long time ANA has been advocating for reforms in healthcare and several of the Affordable Care Act (ACA) provisions are in line with the Health System eform Agenda of the ANA. The ANA gave a chart that gives…

U.S. Health Care Reforms
Objectives of reform of the health care system should align to improve quality, access and cost in health care. The intricacy of the health care system necessitates balancing the three variables while considering the individual's viewpoint. To achieve this equilibrium, health care programs ought to satisfy safety, actuarial and economic principles that should be under proper application and management for successful reforms. Evidently, there exist various problems within the system. These include poor price controls, over-insurance, lack of transparencies in health care cost and delivery, inappropriate actuarial risk classifications and improper safety net structures. This explication highlights health care reform principles and discusses incremental solutions for quandaries in the American health care system.

Economic Principles

Health care reforms ought to strive to encourage the fundamental economic principle of demand and supply. Over-insurance, increase of mandated benefits, control of prices, increased malpractice costs and dependence on third…

Obama's health care reform will make health care more accessible and more affordable and make insurers more accountable, as well as expand health care coverage to every American and make the health care system sustainable by stabilizing family budgets, the economy and the Federal budget.

The cost of Obama's overall health care bill will cost approximately $940 billion over 10 years, according to the Congressional udget Office. The bill will include that by the year 2014 there will be significant health access reforms. Insurers will be prohibited from denying coverage to people with medical problems of charging them more money (CS 2010).

While these numbers do sound manageable, Congress has not responded kindly to Obama's health care reform ideas. When Obama has even mentioned the idea of health care for illegal immigrants, the president was rudely interrupted by a heckler yelling, "you lie" ( ). Under Obama's proposal of health…

nytimes.com/2010/05/24/health/policy/24health.html?scp=6&sq=congress%20health%20care%20may%202010&st=cse http://krugman.blogs.nytimes.com/2009/07/28/why-americans-hate-single-payer-insurance/?scp=7&sq=health%20care%20the%20single%20payer%20issue&st=cse
Peter Baker, "As Oil Slips Away, So Do Chances for Obama," New York Times, http://www.nytimes.com/2010/06/03/us/politics/03memo.html?scp=3&sq=obama health care plan&st=cse

Maybe for some things are well enough, but for most Americans they are far from it. Most Americans spend their days worrying about being just one layoff away from joining the 50 million other men, women and children in the ranks of the uninsured. The average household income in this country is just about $50,000. This means that most people are not in a position to pay a fourth of their family's annual income, before taxes, just to cover health insurance premiums. More and more people face paying thousands more of our hard earned dollars in out-of-pocket expenses before the coverage we pay so dearly for actually kicks in (ichard, 2009).
In the past many Americans who have been enrolled in employer-sponsored health insurance plans have been able to rely on their employers to pay the biggest share of the premiums, but the truth is that fewer and fewer Americans…

Thus, Congress and whoever drafts the plan, really has to figure out how to show the health care interests the reform will help, rather than hinder, their profits, or it simply will not occur.
The health care plan must also be feasible and able to stand the test of Congress, who have vetoed all health care reform legislation offered up to them in history. Congress can find something wrong with just about any health care reform, from how much it will cost to how it is administered, and that means that the legislation has to be foolproof and have the support of a majority of the Congress or it will not pass. That is quite clear from the current mess with the auto industry and the lack of Senate support for a bailout.

eferences

Oberlander, J. (2007). Learning from failure in health care reform. N Engl J. Med, 357(17), 1677-1679.…

The ultimate House vote was two hundred and twenty to two hundred and seven. The senate vote was fifty three to forty three. The republicans were collectively opposed in both chambers (3 June 2010, 3).
The Future of the Health Care ill

Subsequent to disagreements as political enemies for more than a year, the Obama administration and the health insurance industry realized that they require one another.

oth have huge stakes in the success of the new health care law (14 May 2010, 1)

The political destiny of President Obama and Congressional Democrats rely on their capability to interpret it's assurance into realism for voters. This can be attained by restraining health expenses and making insurance accessible to everybody at reasonable price. Similarly, the fiscal future, in fact the continued existence, of the health insurance industry relies on the government. That is on set of laws being written by federal…

In Canada, a much higher percentage of the population lives in remote areas whereas covered healthcare services are often concentrated in large cities (eid, 2009).
Medicare Expansion and Mandatory Health Insurance Issues and Concerns

From the perspective of middle and upper middle income families in the U.S., the expansion of Medicare and the mandatory provision of healthcare by employers would be a tremendous benefit. From the employers' perspective, the associated costs could be prohibitive. Mandatory requirements for individuals could be problematic for those at the lower end of the group income spectrum; however, it would be no less fair than the current situation that forces everyone who pays for healthcare to (in effect) subsidize those who choose not to (Kennedy, 2006). In all likelihood, the only way to make mandatory health insurance work would include expanding Medicare, at least to compete with private health insurers. Naturally, this interferes with their…

Effects on Current Position

With "The Patient Protection and Affordable Care Act," many healthcare professionals are affected (Democratic Policy Committee, n.d.). Nationwide, hospitals are scrambling to buy hospitals in an effort to control costs. Doctors are leaving small private practices. Large insurance companies are becoming more dominant as smaller ones disappear because they cannot stay competitive (New York Times, 2011). Furthermore, epublicans denounced the law as an intrusion by the government that would prompt employers to eliminate jobs, create an unsustainable entitlement program, saddle states and the federal government with unmanageable costs, and interfere with the doctor-patient relationship. As a result, the law would exacerbate the steep rise in the cost of medical services, thus affecting the elimination of many healthcare positions. Ironically, less healthcare professionals will ensue, but an increase in patient care will be needed, as a result in more people becoming insured.

Challenges & Opportunities

Moreover, many…

AMEICA'S HEALTHCAE EFOM
Your Chosen Title

The overhauling of America's Health Care Systems has been a highly debated topic because it affects the quality of life, of virtually all residents living in America. A large portion of America's budget is spent on the healthcare system, however many Americans live day-to-day without healthcare coverage or medical insurance. It is surprising to know that although Americas has one of the strongest economies in the world, it lacks in this area. This resonates in the minds of many troubled Americans, who find themselves in serious economic problems due to their inability to provide healthcare coverage for themselves and their family.

Members of government and of the political arena understand that a demand exists, this demands is one that calls for healthcare coverage for all in America. In March 2010 congress responded to this demanded passed what is known as The Patient Protection and…

Unintended Consequences of Health Care Reform
Consequences of Health Care Reform

My discussion is related to the individual mandate of the Patient Protection and Affordable Care Act (PPACA) of 2010.

The policy problems addressed by the Patient Protection and Affordable Care Act (PPACA) of 2010 are the high cost of health insurance that is untenable for low and middle income earners and the discretionary criteria for enrollment and coverage exercised by medical and health insurance carriers. The PPACA is an excellent policy solution to these issues in the United States and, absent socialized medicine, is a robust response to what has been an intractable and escalating problem in the U.S. Many people who have unable to obtain medical insurance are now able to do so.

The Patient Protection and Affordable Care Act was designed to significantly reduce the number of people who are uninsured through the provision of a continuum…

nytimes.com/2009/02/01/business/01unbox.html accessed June 5, 2010
Holstein, William. "A Drug Maker's Views of What Ails Health Care." New York Times, September 8, 2007 [online] http://www.nytimes.com/2007/09/08/business/08interview.html accessed June 5, 2010

Pear, Robert. "At a House Party on Health Care." New York Times, December 22, 2008 [online] http://www.nytimes.com/2008/12/23/health/23health.html accessed June 5, 2010

Pear, Robert. "Democrats Woo Abortion Foes." New York Times, March 19, 2010 [online] http://www.nytimes.com/2010/03/20/us/politics/20health.html accessed June 5, 2010

Rabin, Roni. "ig Gains for Young People." New York Times, May 24, 2010 [online] http://www.nytimes.com/2010/05/25/health/25land.html accessed June 5, 2010

Sack, Kevin. "usiness Group Joins Suit on Health Law." New York Times, May 14, 2010 [online] http://www.nytimes.com/2010/05/15/health/policy/15lawsuit.html accessed June 5, 2010

Urbina, Ian. "ig Insurance Rate Increase for Pennsylvania Poor." New York Times, March 16, 2010 [online] http://www.nytimes.com/2010/03/17/health/policy/17penn.html accessed June5, 2010

End Notes

"Health Care Reform." New York Times, March 26, 2010 [online] http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/health_insurance_and_managed_care/health_care_reform/index.html?scp=1-spot&sq=health%20care%20reform&st=cse accessed June 5, 2010

Ibid

Holstein, William. "A Drug Maker's…

. .] a sure recipe for a second wave of financial disaster" (Segal, 2010), has an overall nonpartisan tone. Instead of focusing on the controversy between the parties, Segal, like Balassa, draws attention to facts. He discusses the vast amount of bankruptcies declared every year in the U.S. As a direct result of health-care costs (Segal, 2010).
The most conservative, and by far the largest publication, in the region is the Denver Post; it too sees the issues surrounding of health-care reform apolitically. Turning away from slander and political infighting, the article "Health Care eform Bill Cuts Deficit," by obert Pear and David Herzenhorn, discusses what they believe to be the basic concern of the health-care bill as it stands today: the cost to the consumer (2010). Their primary consideration is that the health-care reform bill currently under consideration does little to ease the financial burden of the insured (Pear…

Second, the fact that medical costs are billed to health insurance companies is responsible for an industry-wide culture of financial irresponsibility where little concern is given to avoiding unnecessary or duplicated costs of healthcare services (Kennedy, 2006; eid, 2009). Unfortunately, political opposition to healthcare reform throughout 2009 made it impossible for the Obama administration to achieve this essential goal but it is likely that the current system cannot be sustained without bankrupting the nation.

One of the main reasons that there is so much political opposition to meaningful healthcare reform in the U.S. is precisely because current laws permit excessive influence by special interest groups in Washington (Kennedy, 2006; eid, 2009). Specifically, the private for-profit health insurance industry alone accounts for as many as 5 industry lobbyists per elected government legislator in Washington. By pledging financial support to political campaigns in return for opposition to any legislative reforms that could…

The first phase, implemented in 2010, provides immediate access to a high-risk insurance pools for individuals excluded from healthcare coverage because of pre-existing conditions; it also allows children to remain covered under their parents' insurance plans until the age of 26 and provides tax credits to small employers that give their employees health insurance (Tumulty, Pickert, & Park, 2010). The second phase begins in 2011 and will require private health insurance companies to spend at least 80% of premiums on healthcare services; in 2013, Medicare payroll taxes will increase on the wealthiest individuals and families to enable that program to overcome the aby oomer problem (Tumulty, Pickert, & Park, 2010). In 2014, most Americans will be required to obtain health insurance to reduce the collective cost of treating the uninsured (Tumulty, Pickert, & Park, 2010).
Unfortunately the primary reason that healthcare reform was not able to incorporate more wide-sweeping reforms…

Media and Health Policy Processes
There is no doubt that politics plays a crucial role in healthcare legislation and reforms in the United States. After all, the U.S. Congress passes laws, and so automatically any proposed legislation is passes or fails due to how political representatives act on the law. Professor Thomas Oliver (John Hopkins University) makes that point abundantly clear in his scholarly article. This paper references Oliver's article and a peer-reviewed piece in the journal Economics, Management, and Financial Markets (Boubacar, 2006).

The Patient Protection and Affordable Care Act

It should be noted that when Barack Obama ran for election among his major points was the need to reform healthcare policies in America -- and the need to create new laws and policies. He was elected by a wide margin and he set out to develop legislation that could bring meaningful reform and could provide insurance for an…

The United States is relatively unique in the world community for offering healthcare through a variety of employer-provided and government insurance systems. While most US citizens obtain healthcare via their employers, others have health insurance via a variety of government-provided programs such as Medicaid or Medicare. Still others purchase their insurance from health insurance companies themselves because they do not receive employer coverage and are unable to qualify for Medicaid. This suggests that cooperation between insurance companies, providers, and the government is necessary to improve delivery, reduce costs, and expand access to all patients.
One of the first presidents to attempt to orchestrate broad-sweeping healthcare reform, Bill Clinton, recently underlined the need to embark upon reform in a collective and unified effort. “The former president called on attendees to embrace evidence-based medicine as a means to bend healthcare\'s cost curves and lauded Medicaid expansion as a means to keep health…

Thereby we can conclude if their support or lack thereof for healthcare reform is based on understanding of facts, or is being shaped by other factors, ostensibly the information being made public by politically affiliated media and elected officials in support of one party or the other.
The Survey: Healthcare eform

I voted for President Obama

YES

NO

Didn't Vote

I support healthcare reform

YES

NO

No Opinion

I have health insurance or Government Program

YES

NO

Don't Know

I have Medicare

YES

NO

Don't Know

I have Medicaid

YES

NO

Don't Know

I have CHAMP/VA

YES

NO

Don't Know

I have TICAE

YES

NO

Don't Know

I have group benefit insurance

YES

NO

Don't Know

I have private health insurance

YES

NO

Don't Know

The Health Insurance Privacy

And Portability Act applies to me

YES

NO

Don't Know

The Employee etirement Income

Security Act applies to me

YES

NO…

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…

Ethical Challenges in the Era of Health Care eforms-By Vicki D. Lachman.
The article is brief look at the reforms that are involved in the Affordable care Act (ACA) as far as patient protection is concerned in the fields of insurance cost, insurance choices, the people aged 65 years and over and rights and protection of the beneficiaries of the healthcare reforms. Writer highlights the provision of the comprehensive health cover as one that provides affordable insurance exchanges through which the individuals as well as small businesses can purchase insurance through these exchanges, and organizations or business that have more than 50 employees need to avail insurance. It also highlights the consumer operated and oriented cover plan which works well for the covered individuals. The reforms are also highlighted as giving hope to people with pre-existing conditions. Further discussed is the fact that young adults can be covered in the…

F. The uninsured are increasingly using the ED for their non-emergency needs.

III. The effects of emergency room overcrowding can be deadly.

A. Boarding patients, or keeping already treated or stabilized patients in the ED, prevents patients from receiving the inpatient care they need.

B. Long wait times and inefficient service can mean loss of life

IV. Possible solutions demand health care system overhaul.

A. More efficient hospital registration would streamline emergency room procedures.

B. Standing orders would allow nurses and EMTs to proceed on critical care without doctors.

C. Special fast-track and sub-waiting areas would alleviate hallway overcrowding.

D. Re-budgeting will allocate more funds to emergency admissions.

E. Reducing non-urgent visits via universal healthcare initiative would reduce unnecessary use of the emergency room.

F. Increasing hospital capacity for acute inpatient needs would replace boarding.

G. Hospitals can add support staff during critical hours.

Health Care
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).

Identify the milestone you chose in the history of quality improvement in…

Human esources
Healthcare

Strategic human resource management:

Applications in a healthcare organization

It has been said that one of the great ironies of healthcare is that despite the fact it is an industry where the 'human' dimension is so important, the H department is often one of the most-overlooked aspects of healthcare organizations. "There is arguably no other labor-intensive industry that is so reliant upon a highly skilled, highly educated, high-cost, and high-in-demand workforce that literally makes life-or-death decisions every day. And yet, in many hospitals and health systems H remains an afterthought in the C-suite" (Commins 2013:1). However, the need for change is constant, and many organizations are finding they must 'adapt or die,' given the new realities they are facing. "by the federal healthcare law, the inevitable and growing shortages of skilled healthcare professionals, and the newfound and measurable importance of patient satisfaction scores for reimbursements will prompt…

Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of Congressional action that was passed in 1997 in order to cut costs in the Medicare program, but have never gone into effect. There are also several hospitals, insurers, pharmaceutical manufacturers and advocacy groups that are withholding final support. Most of these groups have pledged support to health care reform in principle while working privately through lobbyists to protect their industries (Eaton and Pell, 2010).
Healthcare lobbyists range from very large companies and corporations to very small groups who are all looking…

Health Care Past, Current, And Future
The health of any nation should be a top priority for leaders and elected political representatives, but in the United States it took several centuries for the nation to begin to come to terms with providing health care for its citizens. This paper covers the gradual implementation of health care services and doctor training facilities in the U.S., and also covers the recent attempt by President Barack Obama to reform a chaotic, poor-functional and expensive health care system. Thesis: It is a scandal of massive proportions that a well-functioning, citizen-friendly universal health care system cannot be instituted in America, the world's most democratic superpower. Until the divisive and toxic political climate can be reformed, there is no chance of major reforms -- or for universal health care coverage -- in these United States.

Past Health Care Services -- Early America

Health care in colonial…

One such barrier is the pattern of supply-driven care that has proven extremely costly on the average consumer and patient. Essentially, this method of healthcare has created a multi-billion dollar industry, where patients' needs are put to the side in order for healthcare organizations to make the largest profit margin possible through a system that resembles a production line more so than a hospital facility. Unfortunately, "producers control demand" (O'Toole, 2009, p 48). With so many major companies profiting from this style of healthcare, they will undoubtedly put up a fight for reform initiatives like the Triple Aim Initiative, which is hoping to rework the system in order to save consumers the burden of costs, without reducing the quality of the care they receive. Moreover, the physician-centric model of most of today's healthcare systems also proves a barrier to the aims of the Triple Aim Initiative. Essentially, under this model,…

Healthcare in the United States: Where We Have Been, Where We Are Going
The current healthcare crisis in America is not one that happened over night. It is one that has been building for more than a quarter century. There was a time in America when healthcare was a stellar institution: research, cures, technological advances, and treatments. The focus of healthcare was maintaining and improving the quality of life. Then, during the early 1980s, managed care became an entity between the physician, the patient, and the healthcare provider of hospital services. It began subtly, but has, today, become one of the most aggressive and successful business ventures of our time; and it has been the unmaking of a once stellar and progressive American institution.

Managed care is a "distinctly American" product (Birenbaum, 1997). It was legislation introduced by the Nixon Administration with the intent to regulate healthcare and to maintain…

In their move from a completely government-paid and -- operated healthcare system to a fees-based approach, the Chinese have greatly improved the efficiency, availability, and efficacy of their healthcare system (Wan & Wan 2010). This suggests that a combination of perspectives, rather than the market or single-payer perspectives that form so many healthcare systems, is most effective.
There are also, of course, healthcare systems that have developed in the same period as those mentioned above, but with far more negative results. The South African healthcare system, though effective in combating certain specific conditions, has many of the same failings as the United States' system, only on to a far more apparent degree. A lack of organization and responsiveness, exacerbated by an attempt to exert highly politicized and highly centralized control over healthcare provision, has plagued South African efforts to combat AIDS and many other problems the country -- and the…

Surgeons in Canada report that, for heart patients, the danger of dying on the waiting list now exceeds the danger of dying on the operating table. Emergency rooms there are so overcrowded that patients awaiting treatment frequently line the corridors. Not only is there a long wait for care, but care is frequently denied to patients who prognosis is poor. In ritain kidney dialysis is generally denied patients over the age of 55. At least 1,500 ritons die each year because of lack of dialysis.
Countries with national health care systems also lag far behind the U.S. In the availability of modern medical technology. In Canada, high-technology medicine is virtually unavailable. In addition to being biased against new medical technologies, national health care systems generally discriminate against nontraditional practitioners, such as naturopaths and chiropractors.

It is true that Canada spends only about nine percent of its GDP on health care,…

People still die because they cannot afford health care, and that simply is not right in the most powerful nation on earth. People should not have to go bankrupt or lose their home because they cannot afford health insurance, and health care should be more affordable for everyone. An Indiana Congress member notes, "Expenditures on health-care lobbying last year rose to $325 million, as health-care providers, insurers, drug makers, medical professionals and others all worked to make sure their interests were served as Congress took up their issues" (Hamilton). Americans need to stop listening to lobbyists and start taking health care reform into their own hands for real health care reform to occur in this country.
eferences

Hamilton, Lee. "Who Lobbies for the est of Us?" Indiana University. 2004. 22 Jan. 2008. http://congress.indiana.edu/radio_commentaries/who_lobbies_for_the_rest_of_us.php

Montanaro, Domenico. "Kucinich Details Health-Care Policy." Firstead.MSNBC.com. 2007. 22 Jan. 2008. http://firstread.msnbc.msn.com/archive/2007/10/25/430486.aspx