The inability of the nation’s lawmakers to negotiate the successful reduction of the deficit has resulted in across the board budget cuts, known as the sequester. The federally mandated sequestration, which required a 5 percent cut to a federal program, has devastating impacts across the public health continuum. Public health is an essential part of keeping Americans safe, and too often the efforts to promote and protect the community are taken for granted. Without the necessary resources to fulfill their duties public health agencies, state and local governments, universities, hospitals, and health centers are failing their obligation to the public. Americans are already being subject to the negative impacts of policymakers’ decision to …show more content…
The BCA established severe discretionary spending caps and enhanced the harmful effects of sequestration. Without efforts from lawmakers to enact a more comprehensive deficit reduction strategy, by 2021 when the BCA expires, discretionary spending will represent just 2.6 percent of the overall economy, the lowest level since 1962. Additionally, since 2010, federal funding for the Public Health Service has been cut nearly 11 percent. Among many others, the core budget for the CDC has been cut by 16 percent. As much as 70 percent of CDC funding goes directly to the state and local health departments. As a result, federal cuts have tremendous consequences for those who rely on services on the ground. The impact of the sequester goes far beyond numbers, a closer look at budget cuts throughout public health sheds light on the range of devastating results. Such analysis shows the extent of the eroding public health infrastructure and the lost opportunities austerity results in. Public health budget cuts impact access, research, threat detection and response, as well as the
K. Stremikis, C. Schoen, and A.-K. Fryer. A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System, The Commonwealth Fund, April 2011. Retrieved April 26th, 2011 from web site: http://www.commonwealthfund.org/Content/Publications/Issue-Briefs/2011/Apr/Call-for-Change.aspx
For decades, one of the many externalities that the government is trying to solve is the rising costs of healthcare. "Rising healthcare costs have hurt American competitiveness, forced too many families into bankruptcy to get their families the care they need, and driven up our nation's long-term deficit" ("Deficit-Reducing Healthcare Reform," 2014). The United States national government plays a major role in organizing, overseeing, financing, and more so than ever delivering health care (Jaffe, 2009). Though the government does not provide healthcare directly, it serves as a financing agent for publicly funded healthcare programs through the taxation of citizens. The total share of the national publicly funded health spending by various governments amounts to 4 percent of the nation's gross domestic product, GDP (Jaffe, 2009). By 2019, government spending on Medicare and Medicaid is expected to rise to 6 percent and 12 percent by 2050 (Jaffe, 2009). The percentages, documented from the Health Policy Brief (2009) by Jaffe, are from Medicare and Medicaid alone. The rapid rates are not due to increase of enrollment but growth in per capita costs for providing healthcare, especially via Medicare.
One overarching critical question about health care is, “What should the government plan to achieve in the American health care system?” This complex question seems to require a complex answer according to a few individuals. Out of respect of the issue, perhaps determining personal feelings about the Patient Protection and Accordable Care Act, may lead to a further understanding. Many combinations in health care in general vary throughout the globe. One thing however is certain, and this the established minimal and maximum roles that can be played by both federal and state government (Tang, & Eisenberg, 2014).
In order to make ones’ health care coverage more affordable, the nation needs to address the continually increasing medical care costs. Approximately more than one-sixth of the United States economy is devoted to health care spending, such as: soaring prices for medical services, costly prescription drugs, newly advanced medical technology, and even unhealthy lifestyles. Our system is spending approximately $2.7 trillion annually on health care. According to experts, it is estimated that approximately 20%-30% of that spending (approx. $800 billion a year) appears to go towards wasteful, redundant, or even inefficient 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 ...
Medicare and Medicaid together "are the single biggest contributor to [the United States] long term [budget] deficit." This idea was expressed by President Obama during his 2011 state of the Union Speech. After saying this, the president said that health care costs need to be reduced, including these two services. Medicare and Medicaid are beneficial to those who receive their services, and the criteria for eligibility currently allow many to qualify for either program. This is most likely the cause of the major deficit that the president spoke of. However, downsizing or eliminating these programs to lessen the deficit will affect many people and their ability to receive healthcare.
The government’s responsibilities concerning health care has grown over the last 100 years. After the Great Depression, Social Security was formed; and in the 1960s, Medicare and Medicaid were enacted. Federal responsibilities grew until the “New Federalism” of the 1990s increased reliance on the states for health care (Longest, 2010, pp. 30-33). Smaller, more local government can represent its citizen’s values better, and it knows the nature of its citizens’ problems. The New Federalism did not significantly change health policy; it gave the states more authority in setting policy and more flexibility in administering programs (Longest, 2010, pp. 30-33).
Healthcare Policy has been through many ups and downs over the years. The first United States legislature to involve healthcare dates back to 1798, when “The Act for the Relief of Sick and Disabled Seamen” was adopted. This approach is not very different in how healthcare works today. The act called for a 200 cent tax on seamen in order to pay for their health care. But it wasn’t until 1912, when President Theodore Roosevelt campaigned on a platform to adopt a single national health service. Finally a program called Medicaid was adopted to insure low income families, and in 1966, Medicare was adopted, guaranteeing health care for those over the age of 65 who paid into the system. Finally, The Affordable Health Care for America Act was introduced in 2009, and while it has changed and been revised a few times since then, it is th...
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.
One of the hottest issues nowadays in the United States is the rising continuously rising trend of health care expenditures. There are heavy debates about the role of government and insurance companies and the possible solutions. However, little can be heard about the experiences and outcomes of the previous attempts that aimed to restrict health spending.
The movement for changing the Health Care system believes that there is a need for change because of the problems that the system faces today cannot be handled. Every month, 2 million Americans lose their insurance. One out of four, 63 million Americans, will lose their health insurance coverage for some period during the next two years . 37 million Americans have no insurance and another 22 million have inadequate coverage . Losing or changing a job often means losing insurance. Becoming ill or living with a chronic medical condition can mean losing insurance coverage or not being able to obtain it. Long-term care coverage is inadequate. Many elderly and disabled Americans enter nursing homes and other institutions when they would prefer to remain at home. Families exhaust their savings trying to provide for disabled relatives. Many Americans in inner cities and rural areas do not have access to quality care, due to poor distribution of doctors, nurses, hospitals, clinics and support services. Public health services are not well integrated and coordinated with the personal care delivery system. Many serious health problems -- such as lead poisoning and drug-resistant tuberculosis -- are handled inefficiently or not at all, and thus potentially threaten the health of the entire population. Rising health costs mean lower wages, higher prices for goods and services, and higher taxes. The average worker today would be earning at least $1,000 more a year if health insurance costs had not risen faster than wages over the previous 15 years . If the cost of health care continues at the current pace, wages will be held down by an additional $650 by the year 2000.
Since the 60s, government budgets have been influenced by the need to finance healthcare especially the cost of Medicare and Medicaid benefits. According to CMS’ National Health Expenditure Projections , total health care expenditures have grown by an average of 2.5 percentage points faster per year than the nation‘s Gross Domestic Product. For about 60 percent of workers who receive some form of health care coverage from their employers, the cost of their health insurance premiums and out-of-pocket expenses have increased significantly faster than their own wages; and between 1999 and 2008, both average health insurance premiums and out-of-pocket costs for deductibles, co-payments for medications, and co-insura...
The health care system in the United States encompasses so many individuals, businesses, and interest groups. Also, it can be difficult to pinpoint the most optimal approach to serve everyone’s unique needs and wants. This has led to a major health-care crisis in the society. As a matter of fact, the effect of the health-care crisis in the American society has been a longtime situation, and an effective policy response must focus on what is most enriching in the society: aiming to improve the overall quality of the system and positively impact the health status of all citizens, while subsequently minimizing costs.
Health is by far the most important thing for a human being, so every penny invested on it has to work. This essay is about the study of the current state of American health reforms and why they are desperately required. Unfortunately things are not that bright as they might seem, an American investing most of their money on health care is basically not getting the level of health care they deserves. With all the investment in the medical field and all the advancements of medical domains, government should be providing best health care in the world for its people.
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.