Before 1965, most health care costs for older adults were paid by the elderly themselves, with the result that many lacked any care at all. This situation greatly improved after the 1965 passage of Medicare. Part A of Medicare pays for hospital care and some follow-up care. Part B pays for some outpatient hospital care and some physicians' services. Neither Part A nor Part B of Medicare pays for prescription drugs and nursing home care is not covered unless licensed nursing services are required. Even then, the number of days covered for nursing home care is limited to 100, and a very small percentage of the actual cost is paid. Medicare Adventage program were introduced after the original Medicare A and B with the idea it would reduce costs. However, they did not, but rather increased costs by about $1,000 per person. Medicare Part D was enacted in 2005, effective in January 2006. Which it introduced a new concept in insurance, the doughnut hole. The average enrollee, after paying a reatively small out-of-pocket co-pay, enters the doughnut hole and has to pay the full cost of prescription drugs until paying out $3,600. Under Obama's health care law, however, the doughnut hole is to be phased out over the next 10 years. Medicaid was designed and added specifically to aid older adults with low incomes. Since 1993, a federal law has required that states recover the money spent on long-term care of a Medicaid beneficiary after the beneficiary dies. In many cases, the only asset to seize is the deceased recipient's former home. This requirement is exempted if a surviving spouse or child under 21 lives in the home, but in many cases the person living there is an adult child who cared for the deceased for many years. If the adult child ...
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...al pathology, which then goes undiagnosed, remains indetected and requires longer correcting. A decrease in compliance with medical treatment will increase hospital stay and the number of doctor visits. There is known, decreased patient motivation for treatment compliance due to hopelessness in depressed participants. Data regarding depression and self-neglect behaviors is in some ways conflicting with the other findings because it has been also suggested that uncontrolled pain produced by disease leads to depression. Participants with depressed moods showed increased self-neglecting behaviors, incidence of medical comorbidities and use of medical services. Depression increased the number of doctor visits in patients with no disease, and even more dramatically in patients with somatic comorbidities. (Lacruz, Emeny, Haefner, Zimmermann, Linkohr, Rolf & Ladwing, 2011)
Medicalization can either be a positive or a negative thing in society often some suffering from an illness turn to the label of medicalization to be able to be accepted from society. Medicalization can be positive for a society if it’s done for all the right reasons rather than just personal interest for those behind it.
Health visitors are registered nurses who undergo extra training to work in the community with families and children under five. The main principles of health visiting are to ensure that children have a healthy and positive start to life by recognising health needs, encouraging health enhancing activities and influencing health policies (Craig and Lindsay, 2000). Health visitors provide the Healthy Child Programme (HCP) which allows all families access to services ranging from immunisations through to safeguarding. Although health visitors play a key part in the healthcare of families and children they also work closely with other health professionals in order to help families achieve optimum health. This essay will describe the health visiting role in more depth as well as discuss why immunisations are a key role in the health promotion undertaken by a health visitor.
Part D is the prescription plan for enrollees. Centers for Medicare and Medicaid Services, 2010. Medicare Part A is meant to be a major medical hospitalization plan that is offered to every US citizen that has turned 65 years old. It covers inpatient care in hospitals and skilled nursing facilities, hospice care, some home health care services, a semi-private room, meals and nursing services while in the hospital.... ...
Implemented (along with Medicare) as a part of the Social Security Amendments of 1965, Medicaid’s original purpose was to improve the health of the working poor who might otherwise go without medical care for themselves and their families. Medicaid also assisted low income seniors with cautionary provisions that paid for the costs of nursing facility care and other medical expenses such as premiums and copayments that were not covered through Medicare. Eligibility for Medicaid is usually based on the family’s or individual’s income and assets. When the ACA came into effect in 2010, it began to work with the states to develop a plan to better coordinate the two ...
In 1965 President Johnson signed both Medicare and Medicaid programs into law (Nile, 2011). According to Medical news today, “Medicare is a social insurance program that serves more than 44 million enrollees as of 2008” (MediLexicon International Ltd, 2011, para2). It cost about $432 billion or 3.2% of GDP, as of 2007(par2).Medicare is broken down into parts, Part A is hospital Insurance Part B is medical Insurance, and Part D is Medicare prescription drug coverage (medicare.gov). Like we previously stated Medicare is a health insurance for people who are 65 and older, people under 65 with certain disabilities, and people of any age with End- Stage Renal Disease. Medicaid is a joint federal-state program of medical assistance for low income persons (Benefit.gov). It is administered by the Illinois Department of Human Services (DHS) and Illinois Department of Public Aid (IDPA). Medicaid serves about 40 million people as of 2007; it cost $330 billion, or 2.4% of GDP, in 2007.(par.2) “In Illinois you may be eligible for Medicaid if you are a child, pre...
According to Medicare’s WebPage Medicare is a Health Insurance Program for people 65 years of age and older, some disabled people under 65 years of age, and people with End-Stage Renal Disease (permanent kidney failure treated with dialysis or a transplant). Medicare has two parts, Part A which is for basically hospital insurance. Most people do not have to pay for Part A. In addition it has a Part B, which is basically medical insurance. Most people pay a small monthly fee for Part B. Medicare first went into effect in 1966 and was originally administered by the Social Security Administration. In 1977 the control of it was switched over to the newly formed Health Care Financing Administration. Beginning in July 1973 Medicare was extended to persons under the age of 65 with certain disabling conditions. In 1988 Congress passed legislation to expand the program to cover health care costs of catastrophic illnesses.
Elderly people, as a whole, use up much of the nation's healthcare budget; six times as much money is spent by the federal government on health services for those over 65 than those under 18 (Callahan, 1997). More people are entering into this age group than are dying due to medical advances that can now prolong life for years, using up hundreds of thousands of dollars on one feeble life that could possibly help hundreds of younger people and thereby prevent future health expenses (Caplan, 1987). America's healthcare budget is not large enough to support every patient adequately- instead of a few getting sufficient healthcare, many are merely getting a half-way supported (Callahan, 1997). With so many last- ditch efforts available, th...
The two major components of Medicare, the Hospital Insurance Program (Part A of Medicare) and the supplementary Medical Insurance program (Part B) may be exhausted by the year 2025, another sad fact of the Medicare situation at hand (“Medicare’s Future”). The burden brought about by the unfair dealings of HMO’s is having an adverse affect on the Medicare system. With the incredibly large burden brought about by the large amount of patients that Medicare is handed, it is becoming increasingly difficult to fund the system in the way that is necessary for it to function effectively. Most elderly people over the age of 65 are eligible for Medicare, but for a quite disturbing reason they are not able to reap the benefits of the taxes they have paid. Medicare is a national health plan covering 40 mi...
Medicare is a federally governed insurance program, primarily serving Americans over the age of 65, younger disabled meeting specific disability criteria, and dialysis patients having permanent kidney failure. Medicare is linked to Social Security, is not income based, and is available to every American meeting the requirements of the program. Those entitled to Medicare can select Original Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) paying co-insurance and deductibles or opt to add Part C (Medicare Advantage Plans) paying a monthly premium and co-payments normally less than the out-of-pocket expenses for Original Medicare.
Medicare is a national social insurance program, run by the U.S. federal government since 1966 that promises health insurance for Americans aged 65 and older and younger people with disabilities. Being the nation’s single largest health insurance program, covering a large population for a wide range of health services, Medicare's funding is a fundamental part of it sustainability. Medicare is comprised of several different parts, serving different purposes, some of which require separate funding. In general, people at the age of 65 and older who have been legal residents of the United States for at least 5 years are eligible for Medicare. Same is true with people that have disabilities under 65, if they receive Social Security Disability Insurance benefits. Medicare involves four parts: Part A is hospital insurance. Part B is additional medical insurance, that Part A doesn't cover. Part C health plans, also mostly known as Medicare Advantage, are another way for original Medicare beneficiaries to receive their Part A, B and D benefits. Medicare Part D covers many prescription drugs, some of which are covered by Part B. Medicare is a major operation, not only needing adequate administering but the necessary allocated funds to keep this massive system afloat.
There are many ways to categorize illness and disease; one of the most common is chronic illness. Many chronic illnesses have been related to altered health maintenance hypertension and cardiovascular diseases are associated with diet and stress, deficient in exercise, tobacco use, and obesity (Craven 2009). Some researchers define the chronic illness as diseases which have long duration and generally slow development (WHO 2013); it usually takes 6 month or longer than 6 month, and often for the person's life. It has a sluggish onset and eras of reduction for vanishing the symptoms and exacerbation for reappear the symptoms. Some of chronic illness can be directly life-threatening. Others remain over time and need intensive management, such as diabetes, so chronic illness affects physical, emotional, logical, occupational, social, or spiritual functioning. Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, all of these diseases are the cause of mortality in the world, representing 63% of all deaths. So a chronic illness can be stressful and may change the way a person l...
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
With the creation of Medicare in 1966 in order to expand access for the elderly to the American healthcare system, the ways in which medicine and its corresponding industries were conducted were irrevocably changed. Prior to its inception, only 65% of people over 65 actually had proper health insurance, as the elderly paid three times as much for healthcare as young people (Stevens, 1998). The private medical sector had much more control over who they would treat, how much they would charge, and more; the passing of Medicare freed up the elderly to have reasonable access to healthcare as a consequence of a lifetime of paying into the system.
Depression is much more common than most people think. Because it is essentially an invisible illness and is largely in the mind, it is difficult to correctly diagnose it and most people suffer for months, years, or even decades with depression. The Merriam-Webster Dictionary defines depression as “a mood disorder marked especially by sadness, inactivity, difficulty with thinking and concentration, a significant increase or decrease in appetite and time spent sleeping, feelings of dejection and hopelessness, and sometimes suicidal thoughts or an attempt to commit suicide.” Most medical definitions are able to explain what happens and why it does, but after carefully examining this one, we only notice that it explains what happens, but not why. Usually, the symptoms of an illness are...
In addition, research for this project enabled me to identify five essential elements for acquiring cross cultural competency which I will use as guidelines in conflict resolution in my future occupation: