Impact on Emergency Medicine
Mona Dangol
Keller Graduate School of Management
HSM 546: Essentials of Managed Health Care
Professor Kadrie
20th Sep, 2015
The Ethics of Healthcare Reform: Impact of Emergency Medicine
The Patient Protection and Affordable Care Act is a United States Federal statue engaged into law by President Barack Obama on March 23, 2010. It is also known as Affordable Act Care (ACA) or colloquially Obama care. According to the act, people have stability and flexibility to make right choices about their health care. The ACA make sure that all the Americans have access for quality and affordable healthcare system necessary to contain cost, community living assistance services and healthcare workforce. This examines
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All the people wish for high quality care. The goal of quality care directs healthcare professionals to act for the benefit of their patients.
2. People wish for the freedom to make choice in healthcare. Patients like to decide on where, when, how and what king of care they get and from whom. Nobody likes to mess up with their health.
3. People wish to have inexpensive healthcare service. If the public officials and each individual spend too much on health care, there will not be sufficient resources for all of the other things they need.
4. Americans want their fellow citizens to share huge healthcare benefits. They don’t want to reject healthcare to persons in need and U.S. has established public health insurance programs to provide care among others.
To achieve the goals satisfaction, some of them must be negotiated. People wish for great deal from their healthcare system than it can provide. Peoples get the advantages from higher spending like waiting for short period, easy access to primary and specialty care, advanced and therapeutic technologies compared to other countries. In United States guarantee access to healthcare is currently available. The EMTALA established an unfunded command to provide medical treatment for the patients even he or she is capable to pay in 1986. All of the visits to the ED are not urgent. Since ED provides only guaranteed access to healthcare in United States, the numbers of ED visits is growing. 81%-88% of patients who visited ED have medical
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citizens and residents to have health insurance and benefits from insurance. People who will receive first time health insurance coverage under ACA will no longer need to rely on EDs for routine healthcare and will prefer to establish beneficial connection with primary care physicians. Most of the patients may continue to present to EDs as they cannot find PCPs since PCPs will not accept newly insured patients because of their practices already full. Hospital crowding is an important issue with significant effects on ED operation. Crowding is an increasing problem as hospital beds decreases with population increases. The patients return to ED for continuing care further makes worse ED crowding. If ED crowding worsens, there will be capacity for the patients who are insured recently. Many EDs may implement protocols for refusing ED care for the people who doesn’t need urgent care. According to HSSA, the demand of healthcare will result in the lack of primary care physician by
One of the most controversial topics in the United States in recent years has been the route which should be undertaken in overhauling the healthcare system for the millions of Americans who are currently uninsured. It is important to note that the goal of the Affordable Care Act is to make healthcare affordable; it provides low-cost, government-subsidized insurance options through the State Health Insurance Marketplace (Amadeo 1). Our current president, Barack Obama, made it one of his goals to bring healthcare to all Americans through the Patient Protection and Affordable Care Act of 2010. This plan, which has been termed “Obamacare”, has come under scrutiny from many Americans, but has also received a large amount of support in turn for a variety of reasons. Some of these reasons include a decrease in insurance discrimination on the basis of health or gender and affordable healthcare coverage for the millions of uninsured. The opposition to this act has cited increased costs and debt accumulation, a reduction in employer healthcare coverage options, as well as a penalization of those already using private healthcare insurance.
Medicare and Medi-Cal insures about fifty percent of patients EMC treats in the ED and because of that large number of patients it exposes the hospital to low-reimbursement rates the hospital receives back from those programs for providing care. Federally funded programs r...
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 (U.S.) has a health care system that is much different than any other health care system in the world (Nies & McEwen, 2015). It is frequently recognized as one with most recent technological inventions, but at the same time is often criticized for being overly expensive (Nies & McEwen, 2015). In 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA) (U. S. Department of Health & Human Services, n.d.) This plan was implemented in an attempt to make preventative care more affordable and accessible for all uninsured Americans (U.S. Department of Health & Human Services, n.d.). Under the law, the new Patient’s Bill of Rights gives consumers the power to be in charge of their health care choices. (U.S. Department of Health & Human Services, n.d.).
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
Health care is an uprising issue today in the United States. I believe in order for health care or the medical field to succeed in the future that social contract should be enforced. By enforcing social contract, it will allow health care to be more efficient by allowing individuals to assume responsibility for their own healthy by having the ability to ensure health. According to The Enduring Democracy book, " from the philosophy of Jean- Jacques Rousseau, an agreement people make with one another to form a government and abide by its rules and laws, an in return the government promises to protect the people’s rights and welfare and promote their best interest"(Dautrich, 7). In other words, if people came to an agreement about health care being available for all American citizens, the government will uphold this idea and will make sure all American citizens have the right to health care.
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
The people of the United States have been suffering from a number of serious issues, all related to health care: millions go uninsured every year, health care is too expensive, and the quality of care is poor, especially for the price. The Patient Protection and Affordable Care Act, commonly referred to as the Affordable Care Act (ACA) or Obama Care, began addressing these issues. The ACA is a United States federal statute signed into law by President Barack Obama on March 23, 2010. The law was enacted with the goals of increasing the quality and affordability of health insurance, lowering the uninsured rate by expanding public and private insurance coverage, and reducing the costs of healthcare for individuals and the government. Although several of the act’s promises have not come into effect yet, it has managed to extend healthcare to the repetitively uninsured. While many of the accomplishments that the act has already made, and aims to make, are no small feat, there are still issues within the policies and procedures. For example, Obama Care boasts that it is a universal healthcare system. However, it is unlike any other in the world, and is technically forced on citizens in a variety of ways. It has been debated, that for that reason, the new law may come into violation of several human rights. Another significant issue with the ACA regards a cap on citizen’s out-of-pocket expenses, and the fact that the administration decided to delay making a definitive decision, potentially costing many American’s unprecedented medical fees.
It is essential for the United States government to provide its entire citizen with a free health care. This system ensures that everyone has an access to medical services regardless to his or her social status. It is an important way of preserving life as free health care plan ensures free treatment to the entire citizen. In addition, it can play a big role of ensuring that there is an improved access to health services. Ensuring that all American citizens have an access to the right health care will in turn decrease health care costs. It can also help to stop medical bankruptcies in the entire nation. Lastly, it is one way of reducing poverty as it will lower the debt of the US which would then increase employment.
The contentious debate about our healthcare system is an epitome of the ongoing political circus in America. With the 2012 elections looming just around the corner, we can expect the vitriol to rise rapidly. Our country spends twice as much on health care per capita compared to other developed countries. The current system is so dysfunctional and projected spending will increase every year, putting an unbelievable strain to our fragile economy. Majority of health care dollars spending are channeled on to patients with chronic illnesses, many of which can be prevented. Unfortunately, medical doctors practicing preventive care are being squeezed out of the equation. The shortage of primary care doctors in America is inevitable because of limited income, lesser prestige, and fewer opportunities.
Regardless of the best attempts of medical professionals and educators to increase the workforce over the past, shortages are anticipated in every health care profession. The estimated supply of workers fails to meet the need related with population growth and aging of the population. With the continuous necessity for medical services for the millions who are projected to sign up for Medicaid and the federal and state insurance exchanges, the labor force shortages could become devastating.
Because of this “approximately twenty to forty-five thousand people die in the United States each year due to a lack of health insurance.” (Obamacare) Not only that but “about fifty-three million Americans have admitted, with or without insurance, they cannot afford to see a doctor.” (LUHBY)
The U.S. expends far more on healthcare than any other country in the world, yet we get fewer benefits, less than ideal health outcomes, and a lot of dissatisfaction manifested by unequal access, the significant numbers of uninsured and underinsured Americans, uneven quality, and unconstrained wastes. The financing of healthcare is also complicated, as there is no single payer system and payment schemes vary across payors and providers.
There are always going to be aspects like customer service or procedural changes that can be done to improve quality of care. I believe that this project will make healthcare more open and accessible to all populations. In my practice, I hope to become a leader that is efficient yet maintains good relations with patients. I plan to implement the five principles of the Triple Aim initiative into my practice to provide patients with a satisfying medical experience. If patients are thoroughly taken care of and emotionally content, there will be less complaints and more people willing to seek medical
Hospitals, long term care facilities, and mental health all serve as healthcare arenas serving the population in various ways. The hospital provides the most critical type of care, for the seriously ill. Hospitals originally served the poor and ill, but over time with the progression of technology and medical service specialties, they have grown to become healthcare meccas with many outlets. Over the past 30 years the degree of rigor of clinical practice and the scope of scientific knowledge has escalated greatly, and the hospital has become a center of high standards, scientific applications, and advanced technological capability (Williams & Torrens, 2008). The increasing shift of services to an ambulatory care arena facilitated by technological advancement itself has left the hospital with an evermore complex base of patient care, higher acuity, and higher costs (Williams & Torrens, 2008). Markets have changed, pricing pressures have increased, and consumer and payer expectations have evolved for hospitals, changes are constant in the medical arena, and hospitals are no exception.