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Healthcare in the USA
Expansion of medicaid essay
Healthcare in the USA
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The Uninsured States of America Nearly 48 million Americans had no health care coverage in 2005, and the number will continue to grow if this country does not enact new policies to defuse this crisis (Families USA 2). Families USA, a nonprofit and nonpartisan organization that advocates for public health contracted with Dr. Kenneth Thorpe, Professor and Chair of the Department of Health Policy and Management at Emory University, to analyze data from the U.S. Census Bureau and other national databases to study the fiscal impact on this country of so many uninsured people. This study, released in June 2005, found that the overwhelming majority of uninsured people are workers in low-wage jobs (Families 10). With the advent of national welfare reform in 1996, millions of people entered the low-wage workforce and lost their Medicaid eligibility. According to Judith Feder, Dean of Policy Studies at Georgetown University, “Since most people leaving welfare find themselves in low-paying jobs without coverage, loss of public coverage leaves them without health coverage altogether” (Feder 29). Moreover, many corporations, pressured by global competition to hold down labor costs, are increasingly asking their employees to share a greater portion of the escalating cost of health insurance premiums, if employers offer benefits at all. In fact, a study by the Commonwealth Fund reports that more than one-quarter of workers in companies with over 500 employees do not receive employer-based coverage, and that one in every three full-time workers with incomes below $35,000 is uninsured (Commonwealth 1). Low-wage workers are therefore caught in an untenable situation. They do not qualify for Medicaid and cannot afford to buy hea... ... middle of paper ... ..."The State of Health Care." The Heritage Foundation. 21 January 2004. The Heritage Foundation. 13 Mar. 2006 . "Paying a Premium." Families USA. 1 June 2005. Families USA. 20 Mar. 2006 Rowland, Diane. Committe on Ways and Means. 9 March 2004. House Committee on Ways and Means. 13 Mar. 2006 . "The Uninsured: A Primer." Kaiser Family Foundation. 1 January 2006. Kaiser Commission on Medicaid and the Uninsured. 20 Mar. 2006 . Wilson, Katherine. "Snapshot: Health Care Costs 101, 2005 Edition." CHCF. June 2005. California Health Care Foundation. 13 Mar. 2006 .
For her book, Nickel and Dimed: On (Not) Getting by in America, Barbara Ehrenreich, a middle-aged female investigative journalist, assumed the undercover position of a newly divorced housewife returning to work after several years of unemployment. The premise for Ehrenreich to go undercover in this way was due to her belief that a single mother returning to work after years of being on welfare would have a difficult time providing for her family on a low or minimum wage. Her cover story was the closest she could get to that of a welfare mother since she had no children and was not on welfare. During the time she developed the idea for the book, “roughly four million women about to be booted into the labor market by welfare reform” were going to have to survive on a $6 or $7 an hour wage; the wage of the inexperienced and uneducated. This paper will discuss Ehrenreich's approach to the research, her discoveries, and the economic assumptions we can make based on the information presented in her book.
Hays found that initially most welfare workers were optimistic and even excited about the changes. Most workers felt that the Act represented real progress and allowed for positive changes which would positively impact the lives of their clients. Hays spoke to one welfare who said that welfare reform “offered the training and services necessary to 'make our clients' lives better, to make them better mothers, to make them more productive.'” But as she was soon to find out, welfare reform, while it did have a positive impact on the lives of some welfare clients, made the lives of most clients more difficult, not to mention the stress that it caused for the welfare workers who had to deal with the often confusing and illogical new rules.
Due to the Patient Protection and Affordable Care Act signed into law on March 23rd, 2010; health care in the US is presently in a state of much needed transition. As of 2008, 46 Million residents (15% of the population) were uninsured and 60% of residents had coverage from private insurers. 55% of those covered by private insurers received it through their employer and 5% paid for it directly. Federal programs covered 24% of Americans; 13% under Medicare and10% under Medicaid. (Squires, 2010)
?Off Welfare, Better Off.? National Center for Policy Analysis. October 1,2002. http://www.ncpa.org/iss/wel/2002/pd100102a.html. (March 26, 2003).
In the summer of 1996, Congress finally passed and the President signed the "Personal Responsibility and Work Opportunity Reconciliation Act of 1996", transforming the nation's welfare system. The passage of the Personal Responsibility and Work Opportunity Act sets the stage for ongoing reconstruction of welfare systems on a state-by-state basis. The combined programs will increase from nearly $100 billion this year to $130 billion per year in 6 years. Programs included are for food stamps, SSI, child nutrition, foster care, the bloss grant program for child- care, and the new block grant to take the place of AFDC. All of those programs will seek $700 billion over the next 6 years, from the taxpayers of America. This program in its reformed mode will cost $55 billion less than it was assumed to cost if there were no changes and the entitlements were left alone. The current welfare system has failed the very families it was intended to serve. If the present welfare system was working so well we would not be here today.
Murray, Sara. “Numbers On Welfare See Sharp Increase.” The Wall Street Journal. 22 Jun. 2009. 20 May. 2012.
On a global scale, the United States is a relatively wealthy country of advanced industrialization. Unfortunately, the healthcare system is among the costliest, spending close to 18% of gross domestic product (GDP) towards funding healthcare (2011). No universal healthcare coverage is currently available. United States healthcare is currently funded through private, federal, state, and local sources. Coverage is provided privately and through the government and military. Nearly 85% of the U.S. population is covered to some extent, leaving a population of close to 48 million without any type of health insurance. Cost is the primary reason for lack of insurance and individuals foregoing medical care and use of prescription medications.
The United States spends vast amounts on its healthcare, while falling short of achieving superiority over other developed nations. One cannot overlook that the deepening recession has left many without jobs and therefore lacking health insurance. According to Fairhall and Steadman, (2009), even though the recession is hard on all, it is worse on the uninsured due to health care and insurance cost rising faster than incomes. Nevertheless, even those with jobs are lacking in health insurance due to employers, who provide insurance, are increasingly dropping their sponsored insurance. Many find that purchasing a health policy or paying for medical care out-of-pocket is cost prohibitive. “Since the recession began in December 2007, the number of unemployed Americans has increased by 3.6 million,” (Fairhall & Steadman, 2009). In 2009 it was stated that approximately 46 million Americans were uninsured, however not all of that number is due to the inability to afford coverage. According to a 2009 story written by Christopher Weaver of Kaiser Health News, 43% of that number should be classified as “voluntarily” uninsured. This subset of uninsured Americans consist of nearly half being young and healthy; therefo...
Until Obama-care, The United States was one of the only developed nations that did not provide some sort of health care for its citizens. To most other nations that do provide healthcare, it is because it is considered a human right that all people should be entitled to. That hasn’t been the case in America, however, where only those who could afford it could have healthcare plans. Those who stand to gain the most from universal healthcare are the already mentioned 45 million americans who currently don’t have any form of healthcare. For many of these individuals, there are many obstacles that prevent them from gaining healthcare. 80% of the 45 million are working class citizens, but either their employer doesn’t offer insurance, or they do but the individual can n...
Health Insurance is one of the nations top problems, the cost is rising for premiums, and many businesses just cannot afford it. As Americans many of us have the luxury of health insurance, but far too many of us have to go without it. This is something that always seems to brought up at congressional debates, but little is done about it. “In 2013 there were 41 million people reported with out health insurance coverage, this is too many considering those people probably were sick at some point through out the year, and they couldn’t afford treatment.” We need to find someway to make sure that every citizen of the United States is able to have affordable healthcare for themselves, and their families.
In America the affordability and equality of access to healthcare is a crucial topic of debate when it comes to one's understanding of healthcare reform. The ability for a sick individual to attain proper treatment for their ailments has reached the upper echelons of government. Public outcry for a change in the handling of health insurance laws has aided in the establishment of the Affordable Healthcare Law (AHCL) to ensure the people of America will be able to get the medical attention they deserve as well as making that attention more affordable, as the name states. Since its creation, the AHCL has undergone scrutiny towards its effects on the government and its people; nevertheless, the new law must not be dismantled due to its function as a cornerstone of equal-opportunity healthcare, and if such a removal is allowed, there will be possibly detrimental effects on taxes, the economy, and poor people.
The people that David Shipler interviewed are the type of people seen every day working at restaurants, Wal-Mart, and gas stations. They do not fit into the prejudice description of mooching welfare recipients. They are people on the edge of the poverty line that are affected by a multitude of issues that snowball into a lifetime of a constant debt and crisis. Shipler studies these working po...
"Key Facts about the Uninsured Population « » The Henry J. Kaiser Family Foundation." Key Facts about the Uninsured Population. N.p., 26 Sept. 2013. Web. 09 Mar. 2014.
Health insurance facilitates entry into the health care system. Uninsured people are less likely to receive medical care and more likely to have poor health. Many Americans are foregoing medical care because they cannot afford it, or are struggling to pay their medical bills. “Adults in the US are more likely to go without health care due to cost” (Schoen, Osborn, Squires, Doty, & Pierson, 2010) Many of the currently uninsured or underinsured are forced accept inferior plans with large out-of-pocket costs, or are not be able to afford coverage offered by private health insurers. This lack of adequate coverage makes it difficult for people to get the health care they need and can have a particularly serious impact on a person's health and stability.
With the United Nations listing health care as natural born right and the escalating cost of health care America has reached a debatable crisis. Even if you do have insurance it's a finical strain on most families.