Why does Nathan S. Kaufman believe the health care bubble is going to burst? Do you agree or disagree with his views? Kauffman (2011) projects a burst in the healthcare bubble that has been brought about by the passing of the Patient Protection and Affordable Care Act (PPACA or ACA) due to the increased spending in healthcare that will follow the implementation of the Act. Due to the increased budget, the government will be forced to acquire credit for funding healthcare (Kaufman, 2011). This will push interest rate up in a similar manner during the housing bubble that caused the financial crisis. Since the states budgets are unable to absorb the costs of the PPACA, they will be forced to draw funding …show more content…
Do you believe this will improve patient care? Physician autonomy implies that physicians should possess complete freedom to provide treatment for patients according to their best judgment. This also includes determine the content of work and how they provide care for patients. Therefore, physician autonomy is the freedom of determining conditions of practice and delivery of care that I patient centered (Emanuel & Pearson, 2012). Furthermore, by suggesting that physician autonomy will reduce Kauffman implies that physicians will be less involved in the assessment, monitoring and maintenance of high quality care within the hospitals for their patients. Due to the establishment of certain programs such as Value-based-purchasing where incentives are earned depending on patient reports and adherence to certain predetermined clinical treatment processes. Therefore, the practice by the two groups will be determined by these programs hence reduce autonomy (Kaufman, 2011).
Nontheless, this is not true because the ACA has numerous provisions that increase autonomy for the two groups through initiation of payment reforms giving them greater financial
The U.S. spending on health care is an outlier compared to other industrialized countries. On an individual basis heath care in the U.S is approximately double what other industrialized countries spend. On a total spend basis, the $3 trillion currently consumed in this sector represents the world’s fifth-largest economy. This high spending on healthcare is unsustainable in the long term. Businesses, individual consumers, and the government are consequently not insulated from the shrinking economic growth due to the ramifications of the high healthcare costs. In a global competitive market the U.S. business will lag behind other industrialized countries unless these high healthcare costs are curtailed. In addition, individuals, even those with insurance face the grim prospect of bankruptcy due to the high cost of care.
Therefore the American tax payers will never be able to supply the projected increases in this federal program, which makes national bankruptcy that much more likely to Senator Scott Brown a Republican from Massachusetts stated that: “States shouldn 't be forced by the federal government to adopt a one-size-fits-all health care plan; each state 's health care needs are different”. Senator Brown has a very good point, the ACA healthcare program does not fit the differentiating needs of the different states, and each state has different factors that go into the roles of their healthcare programs. Thomas Miller, a resident fellow at the American Enterprise Institute also has opposing viewpoints toward the relationship between the Affordable Care Act and state healthcare programs. “Miller says the ACA will undermine the development of free-market dynamics in the health insurance field and force states to accede to federal dictates. At first, he says, states may be able to shape their own insurance exchanges through which people purchase health coverage.
The current state of affairs in the development of health policy in the United States is that it is constantly in flux and its implementation is disorganized and inefficient. As was the case with the recently passed Affordable Care Act legislation, political and lobbying interests often intersect in a manner that makes meaningful, most appropriate changes unlikely. The ACA kept in place the fractured nature of American health care and insurance, and appears to have benefited insurance companies by increasing enrollments rather than making the care provided better on a large scale. The majority of the plans on the created exchanges, up to 87%, are funded by federal subsidies (Blumenthal, Abrams, & Nuzum, 2015). These plans must cover individuals regardless of pre-existing conditions. The burden of the cost of insurance shifted to tax-payers and the young/healthy who are now overly burdened with mandatory coverage that they may or may not need in
The Affordable Care Act (ACA) is a federal that was signed into law by President Barack Obama on March 23, 2010 to systematically improve, reform, and structure the healthcare system. The ACA’s ultimate goal is to promote the health outcomes of an individual by reducing costs. Previously known as the Patient Protection and Affordable Care Act, the ACA was established in order to increase the superiority, accessibility, and affordability of health insurance. President Obama has indicated the ACA is fully paid for and by staying under the original $900 billion dollar budget; it will be able to provide around 94% of Americans with coverage. In addition, the ACA has implemented that implemented that insurance companies can no longer deny c...
There is no doubt that health care costs are rising out of control. Look again at the information presented in this paper. It should make sense of things.
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
“From the very beginning…. Obama’s message was not that the law would result in higher premiums, but better coverage. It was that the law would lower premiums, end of story” (Roy). Yet another promise has found itself broken after the ACA came into the sunlight of reality. “His $1 trillion in tax increases [hit] the middle class hard…” Mitt Romney said, “… in the health care system I envision, costs will be brought under control not because a board of bureaucrats decrees it but because everyone- providers, insurers, and patients –has incentives to do it” Unfortunately, that isn’t how it is. The nation is being forced into healthcare or being penalized for not joining the masses, because this plan will only work if there’s enough healthy people paying their newly doubled premiums regularly to help offset the expenses the unhealthy have right of the bat. “Back when Obamacare was being debated in Congress, Democrats claimed that it was right-wing nonsense that premiums would go up under Obamacare” (Roy). It’s now obvious that right-wing was headed in the right direction, and the middle class was
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
In his essay, “The Refutation of Medical Paternalism,” Alan Goldman discusses his argument against differentiation in the roles between physicians and patients. He says the physician may act against a patient’s will in order treat the patient in their best interest. Goldman makes his whole argument around the assumption that a person’s right to decide his or her future is the most important and fundamental right, saying, “the autonomous individual is the source of those other goods he enjoys, and so is not to be sacrificed for the sake of them.” His claim is that most people agree that they are the best judges of their own self-interest and there is an innate value in the freedom to determine their own future. On these principles, Goldman starts by discussing conditions under which paternalism may be justified.
Autonomy is identified as another professional value and one that the nurse must possess. Autonomy is the right to self-determination. Nurse’s respect the patient’s right to make a decision regarding their healthcare. Practical application includes, educating patients and their families on their choices, honoring their right to make their own decision and stay in control of their health, developing care plans in collaboration with the patient (Taylor, C. Lillis, C. LeMone, P. Lynn, P,
The aim of the analysis is meant to clarify the meaning of the word autonomy thereby the introduction of a concept. Clarification is needed as the word autonomy does have several meanings and not all apply to medical terminology, some meanings span to philosophy, technology and general decision making. The medical meaning is significant in the care of patients for improved outcomes through choice and educated decision making on the part of the patient. Autonomy can be empowering as a concept or even as a single word.
The principle of autonomy states, that an individual’s decision must be respected in all cases, also an individual can act freely in accordance to their plan. For example, in a case where a patient and family demands to continue medical or surgical care and a physician want the patient to stop further treatment. In this case the patient’s choice will matter the most. According to the principle of autonomy it will be the patients and family choice whether to continue or discontinue treatment. The principle of beneficence which states, “one must promote good” comes into play in this case. In accordance to beneficence the patient will not benefit from the physicians responses personally. He/she will not benefit from harming her body with more surgeries. The patient will be going against the principle non-maleficence, which states that “one must cause no harm to an individual” by causing harm to herself. In this case the physician is justified in his/her actions by discontinuing medical or surgical care to the patient because it will not it her. These principles are what healthcare provider use to help and guide patients with the ...
After the inception of ACA that is Affordable Care Act on March 23, 2010 various policies and regulations has been proposed which has more controversy (www.healthcapital.com, 2013). Affordable health act has impact on the stakeholders in different manner. The main concern in the medical field is the input cost which is increasing continuously. This is the biggest challenge for the US government as the increasing cost makes it impossible for the government to allocate appropriate resources in managing the requirements of the ACA public policy. There are more initiatives taken by the US government in implementing the ACA in an appropriate manner by continuously improving the quality of health care at affordable lower costs (www.healthcapital.com, 2013). According to Kaiser Health Tracking Poll conducted in March 2013, about 40% of the public are against the ACA and 37% are supporting the ACA which satisfies the legislative requirements (www.healthcapital.com, 2013). Key issue in health care industry is the quality of doctors and the number of doctors available, this ACA mainly aims to address the issue of all citizens especially poor. The constituency of the act makes the US government to think about the Supreme Court Judgement about emphasising all citizens should have health insurance (NYTimes, 2014).
Autonomy is a principle that allows a patient or authorizing agent to make decisions regarding healthcare decisions without any outside influence (Burkhardt & Nathanial, 2014, p.440) As the nurse, it is important to understand
Sutrop M. (2011) How to avoid a dichotomy between autonomy and beneficence: from liberalism to communitarianism and beyond. Journal of Internal Medicine. 269(4):375-79. Retrieved from http:// onlinelibrary.wiley.com/doi/10.1111/jim.2011.269.issue-4/issuetoc