Of companies surveyed, 60 percent offer insurance to employees, down from 69 percent in 2000.” However, the managed care companies have simply removed less profitable customers from their base and continue to make profits. If healthcare was not viewed as a “basic” employee benefit, this decrease in participation would likely be greater.
The buyers at the hospitals were specialist, without purchasing skills or interests in negotiating for prices. Distributors were making great profits and not paying enough attention to costs. After 1983 Under the new system, the payment to a hospital was based on national and regional costs for each DRG, not on the hospital's costs. Moreover, the national and regional averages were to be updated, so that if hospitals improved their cost performance, they would be subject to stricter DRG-related payment limits. Hospital admissions fell 4%-the largest drop on record; the average length of a patient's hospital stay fell 5% to 6.7 days, also the largest drop ever.
“As reported in the journal Neuropsychiatric Disease and Treatment, moderate drinkers were 23 percent less likely to develop cognitive impairment or Alzheimer 's disease and other forms of dementia” (Medical Daily) However, this is false because alcohol actually leads to decreases brain cells which increases the risk of dementia in older ages. “Small amounts of alcohol might, in effect, make brain cells more fit” (Medical Daily) Alcohol has a negative impact on the brain by making it less fit by eating away at healthy brain matter. “Alcohol in moderate amounts stresses cells and thus toughens them up to cope with major stresses down the road that could cause dementia” (Science Daily) Alcohol does help with stress, but in contrast to the little positive impact it greatly decreases brain health and well being by reducing brain cell size. Teetotalism is the practice or promotion of complete personal abstinence from alcoholic beverages. Going teetotal can reduce the risk of dementia by creating a cleaner brain en... ... middle of paper ... ...an lead to brain deteriorating diseases during elderly years.
In the beginning health insurance was designed for a person who became sick and was unable to work and earn money (Chapin, 2015). During the late 1800’s and early 1900’s there were many medical advances that led to new public images of medicine and allowed for people to gain trust in institutions. In 1904 there was regulation introduced by the American Medical Association that created standards for medical licensure, which led to accreditation of medical schools. There was a decrease in medical schools in 1910 -1912 from 131 to 95 with this decrease there were a more talented supply of licensed physicians produced. (Yale,
According to government reports, on a national level five million citizens have been able to sign up for health insurance. A lagniappe from the Affordable Care Act is that millions of young adults can stay on their parents health insurance until age 26 and millions more citizens have become eligible for Medicaid and Children’s programs. Second, the Affordable Care Act notably lowers healthcare costs and promotes remarkable fiscal duty. According to the Congressional Budget Office, insurance premiums are fifteen percent lower than the office originally projected. The real dollars spent per person on Medicaid is at an outstanding fifty year low and because of this reduction the Obama Administration projects a reduction in spending of trillions of dollars in the decades to come.
Health care legislation has driven change in the profession of nursing for hundreds of years. Stanhope and Lancaster (2014) discuss the history nursing in regards to legislative changes in health care in 1798. Through the passage of a bill, provisions were established to open hospitals to care for sick and disabled seamen. Despite the fact nursing was not yet recognized as a formal profession, the opening of these hospitals created a need for more nursing workforce to provide care. Moving into the twentieth century, the Social Security Act of 1935, created provisions to address public health concerns seen in the Depression era.
Health care will shorten bankruptcy. It was said that over 50% bankruptcies are contributed from medical problems. Medical contributes 17% in bankruptcies. “This threatens the solvency of solidly middle-class Americans. They propose comprehensive national health insurance as a solution.” (Medical Bankruptcy: Myth Versus Fact) In 2008 politicians were used to show that the health care system needs to be changed.
Although more patients will come in as a result of the act being passed, the costs will be much less and result in a loss of income. Along with private practices, the Patient Protection and Affordable Care Act will affect hospitals all across the country. Hospitals nationwide agreed with the government after the ACA was passed to accept one hundred fifty five billion dollars in cuts over the next ten years(Naether,“What Doctors May Not Know About Obamacare – And What They Need to Know”). The reason for all of this is because, for Obamacare to succeed, it is a necessity for doctors to earn net less.
People, including the elderly, are made less vulnerable to the incapacitation of diseases, and in a way, we become biologically stronger. This also means an increase in the productivity of the aged, physically. McClatchy Newspapers (2008, October 20) suggested that with the miracle of modern medicine, 60 might be the new 40. However, most treatments do not come cheap and chronic illnesses, especially, take a toll on their finances as people live longer. "One hospitalisation, for example, a stroke can set you back at tens of thousands of dollars,” as stated by Associate Professor Paulin Straughan, sociologist, National University of Singapore in Channel NewsAsia (2009, August 19).
The Affordable Care Act was originally developed to ensure healthcare to all individuals who could not afford it on their own. It would seem that the increase in the number of patients would benefit hospitals, but this act does the opposite of its intended outcome. There are more patients visiting the hospitals, but the act lowers the costs of their medical bills, which in turn decreases the hospitals’ incomes. This decreased source of income causes both the patients and the employees to find new solutions to the increased amount of issues that they now endure. The Affordable Care Act was developed to give states the choice to expand Medicare to citizens who are earning salaries lower than the federal poverty level as well as those who are not disabled, which will greatly benefit the homeless and those who are imprisoned (DiPietro, Barbara, Klingenmaier e25).