Health disparities, that exists among individuals who reside in rural communities, is significant to availability and access to health care. Access to affordable health care lacks in isolated areas. According to Francis, Scaife, Zahnd, Cook, and Scheeweiss (2009), rural residents “define their health as fair to poor” (Francis, Scaife, Zahnd, Cook, & Scheeweiss, 2009, p. 3555). This is due to healthcare professional shortage, low income status, and its geographic locations. Residents are faced to travel several miles to seek a health care provider for effective treatment. Although they may find a health care provider, cost without proper health insurance to cover medical bills becomes a burden. The increased rate of poverty within rural communities “forces residents to choose between basic human needs, such as shelter or food, and seeking healthcare” (Crosby, Wendel, Vanderpool, & Casey, 2012, p. 54). This causes non-compliance to receiving health care, which increases health complications. However, government assistance programs, such as Medicaid and Medicare, …show more content…
They were created by the Social Security Amendments of 1965, signed by President Lyndon B. Johnson (Smith, 2013, p. 18) Johnson’s goal was to eliminate poverty and racial injustice, which was part of his social reform. They each would provide medical assistance to the unfortunate and low-income individuals who needed assistance with cost of medical services (Smith, 2013, pp. 18-19). Medicare, for advantage of adults age 65 and older, provided insurance coverage for the elderly to improve health and longevity of life (Smith, 2013, p.19). In doing so, Johnson enrolled former President Harry Truman, as the first Medicare beneficiary giving him the first Medicare card. Medicaid advantages targets children, elderly and those with disabilities. Both insurance programs are beneficial to rural communities and had made a tremendous impact on rural
The bill created a Job Corps similar to the New Deal Civilian Conservation Corps; a domestic peace corps; a system for vocational training. The bill also funded community action programs and extended loans to small businessmen and farmers. This helped people to get jobs with good wages.Then came the Medicare Act of 1965 which help people to get better health coverage. “No longer will older Americans be denied the healing miracle of modern medicine. No longer will illness crush and destroy the savings that they have so carefully put away over a lifetime so that they might enjoy dignity in their later years” (1) In 1964 more than 44 percent senior had no health coverage or insurance. Senior citizens were dragged down to poverty as they were not able to pay the medical bills. But after the Medicare Act of 1965 which provide everyone with the medical coverage of all people age 65 and above this issue was almost solved. Along with the Medicare, the Johnson Administration established the Medicaid program to provide healthcare to the poor. Different from Medicare, this Federal-state partnership is largely determined in form and construct by each individual state. In the first three years of the program, nearly 20 million beneficiaries were enrolled
Implemented (along with Medicare) as a part of the Social Security Amendments of 1965, Medicaid’s original purpose was to improve the health of the working poor who might otherwise go without medical care for themselves and their families. Medicaid also assisted low income seniors with cautionary provisions that paid for the costs of nursing facility care and other medical expenses such as premiums and copayments that were not covered through Medicare. Eligibility for Medicaid is usually based on the family’s or individual’s income and assets. When the ACA came into effect in 2010, it began to work with the states to develop a plan to better coordinate the two ...
Luckily under the new health care reform law, most people will receive help paying for their healthcare premiums and cost-sharing expenses that people with insurance have to pay out of pocket for doctor visits, and prescription medicine. Families and individuals will be able to receive this assistance with incomes between one hundred and four hundred percent of the federal poverty line. One hundred to four hundred percent makes up at about $23,000 to $94,000 a year assume this is for a family of four.
It involves the mental, physical, emotional, and medical domains of the individual’s life, but due to the fact that many of these services are publicly funded, gaps exist. Cox (2007) reported that “community resources were generally perceived as inadequate. None of our participants had ready access to social workers in the office, so arranging home health care, adult day care, and other community services added to the difficulty of primary care” (p. 82). Not only are the services and programs inadequate, recent economic dilemmas and ‘recession’ has reduced public spending to meager allowances. Another sore problem is Medicare and general health care programs for the less wealthy. This was the sentiment echoed by one physician interviewed: “If you told me I had to run this place on the basis of what I get from Medicare, I would have to tell you I couldn’t do it, which is kind of sad, because they claim that they’re bankrupt and everything. Where in the hell are they spending their money? They sure ain’t giving it to
In 1965 President Johnson signed both Medicare and Medicaid programs into law (Nile, 2011). According to Medical news today, “Medicare is a social insurance program that serves more than 44 million enrollees as of 2008” (MediLexicon International Ltd, 2011, para2). It cost about $432 billion or 3.2% of GDP, as of 2007(par2).Medicare is broken down into parts, Part A is hospital Insurance Part B is medical Insurance, and Part D is Medicare prescription drug coverage (medicare.gov). Like we previously stated Medicare is a health insurance for people who are 65 and older, people under 65 with certain disabilities, and people of any age with End- Stage Renal Disease. Medicaid is a joint federal-state program of medical assistance for low income persons (Benefit.gov). It is administered by the Illinois Department of Human Services (DHS) and Illinois Department of Public Aid (IDPA). Medicaid serves about 40 million people as of 2007; it cost $330 billion, or 2.4% of GDP, in 2007.(par.2) “In Illinois you may be eligible for Medicaid if you are a child, pre...
In consequence, this will limit poor adults finding the proper treatment since many doctors do not accept Medicaid patients. High rates of uninsured populations were associated with lower primary care capacity (Ku et al., 2011). Thus, expanding insurance coverage can support more primary care practices in rural areas and can help equal the gap in primary care positions. The impact of not expanding affects APRN practice by limiting them to practice in areas where they are needed the most. This not only affects APRNs from practicing without a physician supervision but also limit those that need coverage for basic preventive measures to reduce non-paying visits to the emergency room. Ensuring access to care will be contingent upon the ability to attain progress from insurance coverage and primary
According to Medicare’s WebPage Medicare is a Health Insurance Program for people 65 years of age and older, some disabled people under 65 years of age, and people with End-Stage Renal Disease (permanent kidney failure treated with dialysis or a transplant). Medicare has two parts, Part A which is for basically hospital insurance. Most people do not have to pay for Part A. In addition it has a Part B, which is basically medical insurance. Most people pay a small monthly fee for Part B. Medicare first went into effect in 1966 and was originally administered by the Social Security Administration. In 1977 the control of it was switched over to the newly formed Health Care Financing Administration. Beginning in July 1973 Medicare was extended to persons under the age of 65 with certain disabling conditions. In 1988 Congress passed legislation to expand the program to cover health care costs of catastrophic illnesses.
Medicare was designed for beneficiaries sixty five years and older and enrollees who are permanently disabled and are unable to work. Medicare benefits are applied for at the Social Security office, where proof of eligibility is required. Medicaid however is health care benefits for those who are low income and do not have insurance through their job (Medicare.gov, 2008).
Medicare and Medicaid are programs that have been developed to assist Americans in attainment of quality health care. Both programs were established in 1965 and are federally supported to provide health care coverage to vulnerable populations such as the elderly, the disabled, and people with low incomes. Both Medicare and Medicaid are federally mandated and determine coverage under each program; both are run by the Centers for Medicare & Medicaid Services, a federal agency ("What is Medicare? What is Medicaid?” 2008).
Because rural environments are not as densely populated as urban ones, public services are not as readily available. This requires people to find other means of getting where they need to go and also effects the way they take care of themselves in regards to health. When asked about how she was effected by the lack of healthcare and transportation, my first interviewee stated that it is a constant struggle for her. She said that because she does not work she cannot afford a car to get around with. She said it makes things especially hard when trying to get groceries. She tries to ride to town with some of her friends whenever possible, but if she cannot find a ride she has to walk where she needs to go. She said the lack of healthcare and transportation was a big problem when her husband had a heart attack. She said they had to bring in the helicopter to get him to the hospital in time and it came with a large bill that she doesn’t know how they are going to be able to pay. The second person I interviewed said that the lack of transportation required him to buy a vehicle. He said it was expensive; however, due to where he lives he has to have a four wheel drive to get down his road. He said that he has to drive over an hour to get him and his family to regular doctor and dentist appointments. Because of the lack of access to
For decades, individuals living in rural areas have been considered medically underserved. Access to healthcare is a problem that has been increasing for individuals in rural America due to aging populations, declining economies, rural hospital closures, rising healthcare costs, healthcare provider shortages and difficulties attracting and retaining healthcare personnel and physicians (Bauer, 2002). This population experience more health disparities than t...
Socioeconomic Disparities and health are growing at a rapid rate throughout the United States of America. To further understand the meaning of Socioeconomic Disparities, Health and Socioeconomic disparities & health, this essay will assist in providing evidence. Disparities can be defined in many ways, of which include ethnic and racial background and class types that deal with it the most. Due to the low income some individuals receive, they have less access to health care and are at risk for major health issues. Although, ethnicity and socioeconomic status should not determine the level of health care one should receive or whether not the individual receives healthcare.
According to healthypeople.gov, a person’s ability to access health services has a profound effect on every aspect of his or her health, almost 1 in 4 Americans do not have a primary care provider or a health center where they can receive regular medical services. Approximately 1 in 5 A...
Improving population health necessitates a variety of the contributions from health entities. These health entities can be state, local governments, hospitals, health centers, and community organizations. Unfortunately, these contributions and services are not equally distributed throughout the population. Lack of a supermarket in a neighborhood limits residents’ access to healthy food and other resources. Furthermore, ethnic minority and/or low-income communities are burdened with several health disparities such as greater risk for diseases, or limited access to healthcare services (Jackson, 2014). The National Cancer Institute reported that individuals from medically underserved population are more likely to be diagnosed with late-stage diseases because they have inadequate resources to education, or health insurance. When an individual does not have adequate access to healthcare services, healthy disparity grows larger in the overall health of a
Throughout our healthy brains, healthy bodies course so far, we have learned time and time again about the strong and important relationship between our brains and our bodies. Health and wellness is not one single thing, it is a collection of practices, attitudes and ways of being in the world, which help us cultivate the best form of ourselves. Finding and understanding the ways in which we can best take care of ourselves, and then applying them, gives us the opportunity to improve our physical, cognitive, mental and emotional wellbeing. Embodying our healthiest selves helps not only us, it helps those around us by providing a positive example about how to exist within our own bodies, and exist within the world. Throughout this paper, we will