This essay, written for readers unfamiliar with the details of American health law and policy, portrays the essential features of the battle for health reform in the United States and of the law that survived the battle: The essay summarizes key aspects of the U. The major features of the law, attempting to address problems of access to health care, quality, and cost, are explained. This essay portrays the essential features of that story and of the law that survived the battle: The major features of the law are explained, and the issues remaining to be addressed are set out.
The dilemmas stem from the fact that attempts to improve any one of the three dimensions are likely to create pressure on one or both of the other two.
PPACA ambitiously seeks to address all three simultaneously — while furthering principles of justice as well. This essay concludes that the new law will increase access to care, covering most Americans who are now uninsured and making America a somewhat more just society.
Quality improvements, some spurred by the law and others of independent origin, are also discernible on the horizon. Cost-control success cannot be predicted with confidence. It is well known that the U. What is less well known is which segments of the population lack coverage, and how the high-cost care that does reach the public results in many respects in mediocre health outcomes.
Myths about American health care are pervasive, and factual correctives are needed. Most of the roughly 50 million uninsured are not unemployed or welfare recipients, as many believe. Rather, the majority are members of working families. Although adults under age 65 typically receive health insurance as an employment benefit, not all are so fortunate.
Most small businesses, many medium-sized firms, and even some large firms do not offer health insurance to their employees. Although ethnicity is correlated with lack of health insurance, the ethnic group least likely to have insurance is not African-Americans, as many believe; it is Hispanics.
More than one-third of Hispanic workers Comparative Health Care Expenditures. Health care costs in the U. For example, infant mortality rates in the U. States click for larger version. The percentage of total health care expenditures spent on administration and insurance in the U. Comparative Mortality Rates from Noncommunicable Diseases click for larger version. Since physicians control most health care purchasing decisions, and they are not constrained in most health care settings by cost considerations, incentives for excessive diagnostic procedures are built into the system.
These incentives are heightened by the fear of lawsuits — an exaggerated fear, perhaps, since the number of paid malpractice claims per active physician has been declining steadily for the past twenty years.
A second factor that has driven U. But in terms of providing good health care to the nation as a whole, the U. And the unceasing growth of health care costs is unsustainable.
Barack Obama campaigned for president in on a platform of health reform. He scored a decisive electoral victory, and the Democrats gained a filibuster-proof vote majority in the Senate 12 and increased their majority in the House of Representatives. In the early months of his presidency, Obama made overtures to congressional Republicans in an effort to reach agreement on the outlines of a bipartisan consensus health reform program.
Those hopes vanished during the summer of The criticisms had an effect on public perceptions, as the complex and poorly understood health reform proposals never commanded majority support in opinion polls. Nevertheless, Democratic majorities in the House and Senate passed differing versions of health reform in the autumn of , opposed by almost all Republicans in the House and all in the Senate. Hopes for reform dimmed. Health reform was one of the major issues in the congressional election campaign.
The rationale for the decision was a surprise to many observers. Presidential Election Results, , by State click for larger version. Health Insurance Coverage, , by State click for larger version.
However, Obama was re-elected by a substantial majority, defeating Mitt Romney by a margin of in electoral votes see Figure 4. Democrats gained two Senate seats and eight House seats, although Republicans retained control of the House. PPACA, a complex piece of legislation, aims at improving all three dimensions of the health care system — access, cost, and quality. Of the roughly 50 million uninsured Americans, slightly more than half will likely receive health insurance coverage when the law is fully implemented, leaving the nation well short of universal coverage.
The following provisions are designed to expand access to care:. The federal programs are so large and so many providers depend on them for payment that federal policies tend to have considerable impact even in the private sector. As of this writing, action on the latter two measures has stalled. Under pressure from private health insurers and seniors, the Obama Administration scaled back the planned Medicare payment reductions.
These costs are covered by increased taxes and fees, so that the net effect is predicted to be a reduction in the federal budget deficit. The biggest source of additional tax revenues is higher-income taxpayers, who face a 0.
Based on these goals, the health care providers, the insurance companies, the patients and the system itself will be affected. Thus with health care reform goals is to provide high quality of personalized care to the patient. Thinking outside the pillbox—medication adherence as a priority for health care reform. New England Journal of Medicine, 17 , Health care reform and cost control. New England Journal of Medicine, 7 , What is the meaning of health?
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Health Care Reform. Incorrectly called Obamacare, with the proper name should be called, mejormateria.cf affordable Health care act, stated to have been designed to help millions of people. But questionable at best.
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Second, health care reform is needed to improve the quality of care, which is the worst in the developed world. Chronic diseases cause almost 70% of deaths in the United States and effect 45% of . health care reform essaysThird Party Oversight in Health Care Reform The United States health care system is under a period of rapid change. Managed care growth, technological changes and a growing population is forcing the American health system to reform and change its traditional health care mo.
Feb 27, · Health Care Reform Essay. Healthcare Financial Reform Proposal Sandra Xavier Grand Canyon University: HCA Professor Tina Block July 8, Healthcare Financial Reform Proposal I believe healthcare reform is a waste of time and money but I also see that it can be beneficial to many uninsured Americans. First of all, health care costs keep. Essay on Analysis of Obama's Speech About Health Care Reform Words 3 Pages It is amazing how one person’s hour long speech can change so many American views over our health care system.