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Essays on affordable care act (aca)
The 2010 Affordable Care Act
Essay affordable care act
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What is currently obtained in the Arroyo Fresco community are the services provided to underserved areas in all the 50 states of the United States, unlike time past when the low-income earners or the poor had no access to quality healthcare. Being a non-profit and community-owned organization, they provide high-quality primary care, and even preventive services to the population they serve, irrespective of whether they are in the position to pay or not. The high-quality care provided also include an increased access to care, such as the provision of transportation when needed, translation when demanded, even home visitation (Baldrige National Quality Program, 2006). All these are made possible by the stakeholder groups, which include but not limited to the patients themselves, and their families, the community, volunteers, staff – including physicians and the different partners they are involved. Consequently, the currently practiced solution is the low-cost/high-value of services the communities being serviced enjoys. This is however not without the efforts and support of the different partners who helps with supplies and/or services. The partners include healthcare partners, education partners, community partners and vendor partners (Baldrige National Quality Program, 2006).
A specific example of this type of practice in real-life will be the Kaiser Commission on Medicaid and the Uninsured in partnership with the George Washington University’s Geiger Gibson Program in Community Health Policy ("Community Health Centers: A 2013 Profile and Prospects as ACA Implementation Proceeds | RCHN CHF," n.d.). the Affordable Care Act (ACA) made a major contribution in the community health centers (CHCs) program to pave way for mo...
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...colleges and state health education center for health care training and career development.
With all the good intentions of the Arroyo Fresco Community Health Center, there are also some controversies surrounding it. There is the issue of barrier to care, which could be because of geographic location, culture, or income. These are usually associated with patients in rural areas not having access to preventive screening exercises, which would save AF more money than treating diseases instead of nipping them in the bud. There is also the issue of communicable diseases, which is easily passed to someone else. Since AF provides ambulatory medical services, there is a chance that there are safety risks in the ambulatory patient care setting. Safety risks like exposure to communicable diseases, exposure to radiation through x-ray, accidents through chemical, etc.
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.
The intersection of health policy to the case of Senora Benitez is brought by social, political and environmental factors. First social, Senora Benitez with no children, husband who got laid off from work and a life in a trailer truck added in worsening the health condition of Senora. I think if only the husband can have work and if they have children who can support their needs it will be easier for the family to support the treatment needed by the patient. Political wise because of the surgeon who’s been wanting to have his own vascular surgery clinic and did a wrong surgery. Also it is stated that he started the patient on additional antibiotic, which makes the kidney of the patient to diffuse. I think because of the dream of the doctor the budget allotted to the patient was consumed and the hospital administrators became worried. I also want to assume that educational background was also not tackled, it is important to know that the patient is understanding the teaching well and know the importance of the treatment and possible outcome if not followed. Also, social isolation when the author described Mrs. Benitez not attending church and the only option for her would be her neighbor who barely let them borrow the car to drive for 12 miles. The distance of the health care center is also a factor and the reason why can’t do follow up
Healthcare in the U.S. has recently been affected by implementation of the Affordable Care Act (ACA) of 2010. The intent is to create a healthca...
The Affordable Care Act promises the public access to health coverage. Many of the people who d...
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.).
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
Since the initiation of the Affordable Care Act in 2010, Americans have been put back in charge of their individual health care. Under this new law, a health insurance marketplace provides a haven for individuals without insurance to gain coverage. Just this year, citizens found out early whether they qualified for Medicare or the CHIP formally known as the Children’s Health Insurance Program. So much is to be learned about the Affordable Care act and this paper provides the roles of the different governmental branches, along with other important factors associated with this law.
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.
The ACA expanded Medicare/ Medicaid, strengthened employer based care, and included an individual mandate. Before the ACA there were 32 million people uninsured and “approximately half, or 16 million, will gain coverage through an expansion of Medicaid” (Barr, 2011, p. 292). To improve the cost of care the ACA required employers with more the 50 employees to offer plans and individuals would have to purchase plans from the government. “ACA does not address directly the issue of disparities in access of care based on a patient’s race or ethnicity, it does impose on providers the responsibility for collecting data on the race or ethnicity, primary language, disability status, and similar demographic characteristics of patients cared for” (Barr, 2011, p. 293). The ACA strives to give health coverage to all but the power still lies in the private sector.
In the a time of rising costs in the U.S., not to mention a contentious political debate over insurance and medical care, Costa Rica’s take on the issue is refreshing. This is an advantage and benefits to residents and citizens of Costa Rica. Health care is cost is very cheap and easy to access. Individuals do not loss standard of care. Several of these doctors are educated in the United States, Canada, or Europe they are familiar with all the up-to-date procedures, all the clinics and hospitals have innovative tools and equipment like Magnetic Resonance Imaging. The disadvantage of Costa Rica’s healthcare system include the long waiting hours for residents who needs to get ultrasounds, CT scans, and Magnetic Resonance Imaging done. The waiting period may take months or weeks in a non-emergency situation. It is also the similar with non-emergency surgery. The doctors, nurses, and administrative staff mostly speak English. It is very annoying for patients who mainly speak
Medicaid is a broken system that is largely failing to serve its beneficiary’s needs. Despite its chronic failures to deliver quality health care, Medicaid is seemingly running up a gigantic tab for tax payers (Frogue, 2003). Medicaid’s budget woes are secondary to its insignificant structure, leaving its beneficiaries with limited choices, when arranging for their own health care. Instead, regulations are set in order to drive costs down; instead of allowing Medicaid beneficiaries free rein to choose whom they will seek care from (Frogue, 2003)
A community can be defined as a group of people, who live, learn, work and play in an environment at a given time. (Yiu, 2012, p.213) There are many factors that may influence the community’s development and health status. These can include resources available, accessibility, transportation, safety, community needs etc… These influences may combine together to form community strengths and as well as community challenges or weaknesses. As a community health care nurse, it is significant for us to assess and identify these strengths and challenges within the community in order for us to intervene and provide the appropriate needed health care services for the community members. This individual scholarly paper will explore and focus on one challenge issue identified from our group community assessment.
Provisions to expand Medicaid are central to legislation aiming to eliminate racial inequities. Minorities make up about one-third of the population, but account for over half of the total 47 million uninsured. This is a reflection of racialized economic structures that leave many minorities unable to afford insurance or access employer-based coverage. The ACA attempts to decrease the rate of uninsured for low-income individuals and families by expanding Medicaid to adults with incomes at or below 138 percent of the federal poverty line. Although this provision will help to expand coverage to some of the nations poorest individuals, the Supreme Court’s Decision to leave the choice to expand up to the states has a serious impact on the b...
Explaining Health Care Reform: Questions About Medicaid’s Role. (2010). The Kaiser Family Foundation. Retrieved August 20, 2010 from http://www.kff.org/healthreform/7920.cfm
The Affordable Care Act has been at the center of political debate within the United States for the since current President Barack Obama signed it into law in 2010. The act represents the most significant regulatory healthcare overhaul of the United States healthcare system since the passage of both Medicaid and Medicare collectively Initially, the ACA was enacted with the goals of increasing the availability of affordable health insurance, lowering the uninsured rate by expanding public and private insurance and reducing cost of healthcare for individuals and the government (Robert, 2012). Proponents of the act’s passage have articulated that the ACA provides service for free, such as preventative health coverage for those registered, it requires that insurance companies can no longer deny person’s or children with pre-existing conditions and will close the Medicare “Donut Hole” for prescription drugs. While the Act has the potential to provide better quality of healthcare for the American populace, opponents argue that the ACA is flawed and could create a quagmire of cost and confusion with its implementation. Arguments against it hold the belief that it would force employers with religious affiliation to provide services to employees through their health plans that directly contradict their values. As a result of cost, companies may void out of their employer health insurance and pay a penalty as opposed to pay for employee insurance. Lastly, the act is said to focus more on registration the actually addressing cost of healthcare. While these issues are pertinent, the overall accessibility to healthcare created by the ACA and outweighs the negating arguments.